Provider Demographics
NPI:1225377765
Name:BROWN, JOCELYN MADDOX (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:MADDOX
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 934
Mailing Address - Street 2:
Mailing Address - City:KEITHVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71047-0934
Mailing Address - Country:US
Mailing Address - Phone:318-501-2606
Mailing Address - Fax:877-290-0424
Practice Address - Street 1:2001 E 70TH ST STE 506
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5364
Practice Address - Country:US
Practice Address - Phone:318-501-2606
Practice Address - Fax:877-290-0424
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4892101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4892OtherLOUISIANA BOARD OF EXAMINERS