Doctor Name: | MS. KENDRA GENELLE BROWN |
NPI Number: | 1023380128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, QMHP |
License Number: | |
Business Practice Address: | 3587 Heathrow Way Medford, OR - 975044004 |
Business Phone Number: | 5038588170 |
Business Fax Number: | 5418588167 |
Mailing Address: | 3587 Heathrow Way, MEDFORD |
State: | OR |
Postal Code: | 975044004 |
Phone Number: | 5038588170 |
Fax Number: | 5418588167 |
NPI Enumeration Date: | 02/03/2012 |
NPI Last Update Date: | 02/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |