Doctor Name: | MRS. KATHLEEN HARDISON BROWN |
NPI Number: | 1083078380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 69967 |
Business Practice Address: | 113 S 7th St Gatesville, TX - 765282011 |
Business Phone Number: | 2548659911 |
Business Fax Number: | |
Mailing Address: | 100 Sunny Ln, GATESVILLE |
State: | TX |
Postal Code: | 765281851 |
Phone Number: | 2542481020 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2016 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 69967 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |