Harold Brown
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gary, IN
NPI 1780072074 · NPPES record last updated Jan 8, 2015
Key facts
- NPI
- 1780072074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1110 W 5TH Ave
Gary, IN 46402-1723 - Phone
- (219) 885-4264
- NPI assigned
- Jan 8, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1110 W 5TH Ave
Gary, IN 46402-1723
Mailing address
1110 W 5TH Ave
Gary, IN 46402-1723
Phone (219) 885-4264
Other providers in Gary, IN
- Broadway Medical Corporation, PC
- Broadway Physical Therapy, Inc.
- Zakia Brodnax
- Ashley Lenai' Brooks
- Shanita Brooks
- Lakesha T Brown
- William Brown
- Gerri C Browning
- Felicia Dean Brumfield
- Shanta Brunson
All providers in Gary, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.