Doctor Name: | MR. CHRISTOPHER WAYNE BROWN |
NPI Number: | 1053678607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC, LPCI |
License Number: | 66885 |
Business Practice Address: | 13101 Southern Way Ln Pearland, TX - 775841786 |
Business Phone Number: | 7087056294 |
Business Fax Number: | |
Mailing Address: | 13101 Southern Way Ln, PEARLAND |
State: | TX |
Postal Code: | 775841786 |
Phone Number: | 7087056294 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2012 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 66885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |