Doctor Name: | JUDITH HOUGLAND BROWN |
NPI Number: | 1003811431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | 35001411A |
Business Practice Address: | 370 W Carlisle St Mooresville, IN - 461581532 |
Business Phone Number: | 3178342010 |
Business Fax Number: | 3178341521 |
Mailing Address: | 370 W Carlisle St, MOORESVILLE |
State: | IN |
Postal Code: | 461581532 |
Phone Number: | 3178342010 |
Fax Number: | 3178341521 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 35001411A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |