Doctor Name: | MRS. LULA MAE BROWN |
NPI Number: | 1013352400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 0154001 |
Business Practice Address: | Matt 25 1200 North Thornton Street Clovis, NM - 88101 |
Business Phone Number: | 5757634400 |
Business Fax Number: | |
Mailing Address: | Matt 25 1200 North Thornton Street, CLOVIS |
State: | NM |
Postal Code: | 88101 |
Phone Number: | 5757634400 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2013 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0154001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |