Doctor Name: | BRENDA KAY BROWN |
NPI Number: | 1013060797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 11120 |
Business Practice Address: | 3434 S Alameda St Corpus Christi, TX - 784111720 |
Business Phone Number: | 3618552710 |
Business Fax Number: | 3618554204 |
Mailing Address: | 3434 S Alameda St, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784111720 |
Phone Number: | 3618552710 |
Fax Number: | 3618554204 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 11120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |