Doctor Name: | CATHY MARIA BROWN |
NPI Number: | 1073789657 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 201 N Broadway St Ste 213 Moore, OK - 731605135 |
Business Phone Number: | 4059900816 |
Business Fax Number: | |
Mailing Address: | 201 N Broadway St Ste 213, MOORE |
State: | OK |
Postal Code: | 731605135 |
Phone Number: | 4059900816 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |