Provider Demographics
NPI:1306569066
Name:BROWN, JOLANDA MONIQUE (BA, MA, ACA, NSLS)
Entity type:Individual
Prefix:MS
First Name:JOLANDA
Middle Name:MONIQUE
Last Name:BROWN
Suffix:
Gender:F
Credentials:BA, MA, ACA, NSLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 UNITED KINGDOM CIR APT 2798
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-5688
Mailing Address - Country:US
Mailing Address - Phone:321-427-8669
Mailing Address - Fax:
Practice Address - Street 1:7480 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9102
Practice Address - Country:US
Practice Address - Phone:407-988-3048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health