Most Relevant Information
Provider Data
| NPI Number: | 1003387127 |
| Provider Name: | JAY BROWN CADAC II |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CII2134 |
Most Important Dates
| Enumeration Date: | 12/16/2018 |
| Last Updated: | 12/16/2018 |
Provider Practice Location
203 N STATE ST
NORTH VERNON
IN
472652454
Practice Location Phone/Fax
| Phone: | 8122002714 |
| Fax: |
Provider Mailing Location
203 N STATE ST
NORTH VERNON
IN
472652454
Provider Mailing Phone/Fax
| Phone: | 8122002714 |
| Fax: |