| Doctor Name: | MR. JOHN C. BROWN |
| NPI Number: | 1093994485 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA-LCPC |
| License Number: | LCPC 1159 |
| Business Practice Address: | 16410 Shaffer Rd Sharpsburg, MD - 217821148 |
| Business Phone Number: | 3017039974 |
| Business Fax Number: | 3017032371 |
| Mailing Address: | 16410 Shaffer Rd, SHARPSBURG |
| State: | MD |
| Postal Code: | 217821148 |
| Phone Number: | 3017039974 |
| Fax Number: | 3017032371 |
| NPI Enumeration Date: | 11/01/2007 |
| NPI Last Update Date: | 09/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC 1159 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |