Provider Demographics
NPI:1831821933
Name:BROWN, JA'LAYSHA UNIQUE (BS)
Entity type:Individual
Prefix:
First Name:JA'LAYSHA
Middle Name:UNIQUE
Last Name:BROWN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 GETTYSBURG AVE APT 1163
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-3909
Mailing Address - Country:US
Mailing Address - Phone:661-472-7272
Mailing Address - Fax:
Practice Address - Street 1:693 W BULLARD AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1607
Practice Address - Country:US
Practice Address - Phone:559-425-6885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor