Doctor Name: | MONIQUE RENEE BROWN |
NPI Number: | 1003097387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 5168 N Blythe Ave Ste 101 Fresno, CA - 937226429 |
Business Phone Number: | 5592488550 |
Business Fax Number: | 5592488555 |
Mailing Address: | 5168 N Blythe Ave Ste 101, FRESNO |
State: | CA |
Postal Code: | 937226429 |
Phone Number: | 5592488550 |
Fax Number: | 5592488555 |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |