Provider Demographics
NPI:1518545128
Name:BROWN, JOCELYN FELTER (LCMHCA)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:FELTER
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 PACE ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1957
Mailing Address - Country:US
Mailing Address - Phone:919-624-7878
Mailing Address - Fax:
Practice Address - Street 1:529 PACE ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1957
Practice Address - Country:US
Practice Address - Phone:919-624-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16158101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health