| Doctor Name: | DR. M. D. BROWN |
| NPI Number: | 1023470291 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D, LPC, NCC, CPSC |
| License Number: | LPC005770 |
| Business Practice Address: | 4060 Peachtree Rd Ne Suite D-423 Brookhaven, GA - 303193020 |
| Business Phone Number: | 7708333938 |
| Business Fax Number: | 4042371355 |
| Mailing Address: | 4060 Peachtree Rd Ne, Suite D-423 BROOKHAVEN |
| State: | GA |
| Postal Code: | 303193020 |
| Phone Number: | 7708333938 |
| Fax Number: | 4042371355 |
| NPI Enumeration Date: | 03/25/2016 |
| NPI Last Update Date: | 03/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |