Kermit Ray Brown
Kermit Ray Brown is an Addiction (Substance Use Disorder) Counselor in Oakland, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
10429 International BlvdOakland, CA 94603-3221
Phone: (510) 777-8448
Fax: (510) 777-8453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 14074 (CA) |
|---|
Record details
| NPI number | 1295450930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 5, 2022 |
| Last updated in NPPES | October 5, 2022 |
| Certification date | October 5, 2022 |
| Mailing address | 10429 International Blvd, Oakland, CA 94603-3221 |
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