Provider Demographics
NPI:1528384302
Name:BROWN, JEFFETH R (MA)
Entity Type:Individual
Prefix:
First Name:JEFFETH
Middle Name:R
Last Name:BROWN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:11031 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7182
Mailing Address - Country:US
Mailing Address - Phone:305-398-6100
Mailing Address - Fax:305-757-4465
Practice Address - Street 1:450 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6256
Practice Address - Country:US
Practice Address - Phone:954-580-0770
Practice Address - Fax:954-580-0777
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health