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Jonathan F Brown

Counselor

Behavioral Health & Social Service Providers

8416 Oyster Dr, Las Vegas, NV 89128-7072

PECOS Enrollment

This provider is enrolled in PECOS as JONATHAN BROWN.

Based on the most recent information from CMS, provider Jonathan F Brown is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1235532953
Provider Type
Individual
Full Name
Brown, Jonathan F
Credential
MS, CPC-I

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/8/2014
Last Updated
11/16/2018

Contact Information

Practice Location

8416 Oyster Dr, Las Vegas, NV 89128-7072

(702) 813-8204

Unlisted Fax

Mailing Location

8416 Oyster Dr, Las Vegas, NV 89128-7072

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CI0405 Nevada

Jonathan F Brown

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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