MR. BRANDON ANDRE JEVON JAMES LCMHCLCAS-A CRC NPI 1194239665

NPI Information

NPI: 1194239665
Provider Name: MR. BRANDON ANDRE JEVON JAMES, LCMHC,LCAS-A, CRC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1922 S MARTIN LUTHER KING JR DR STE 225
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 464-3136
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MR. Brandon Andre Jevon James, LCMHC,LCAS-A, CRC is a mental health counselor in Winston Salem, NC. MR. Brandon Andre Jevon James, LCMHC,LCAS-A, CRC NPI is 1194239665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1922 S MARTIN LUTHER KING JR DR STE 225
WINSTON SALEM, NC
ZIP 27107-361
Phone: (336) 464-3136
Fax: (336) 734-6917

The enumeration date for this NPI number is 11/20/2017 and was last updated on 3/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	23683	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	13179	NORTH CAROLINA	Yes
3	225C00000X	Rehabilitation Counselor		00188145	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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