Provider Demographics
NPI:1366849440
Name:BROWN, DENNIS AARON (CADC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:AARON
Last Name:BROWN
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2322 E. KIMBERLY RD.
Mailing Address - Street 2:STE. 200 N.
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807
Mailing Address - Country:US
Mailing Address - Phone:563-355-0055
Mailing Address - Fax:563-355-0101
Practice Address - Street 1:2322 E. KIMBERLY RD.
Practice Address - Street 2:STE. 200 N.
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807
Practice Address - Country:US
Practice Address - Phone:563-355-0055
Practice Address - Fax:563-355-0101
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)