| Doctor Name: | CHARLES NICHOLAS BROWN |
| NPI Number: | 1013350867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | 1591 |
| Business Practice Address: | 75 Cavalier Blvd Florence, KY - 410423950 |
| Business Phone Number: | 8595944510 |
| Business Fax Number: | 8595944519 |
| Mailing Address: | 75 Cavalier Blvd, FLORENCE |
| State: | KY |
| Postal Code: | 410423950 |
| Phone Number: | 8595944510 |
| Fax Number: | 8595944519 |
| NPI Enumeration Date: | 04/11/2013 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1591 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |