Doctor Name: | MICHELLE A MARCHESANO-BROWN |
NPI Number: | 1114113081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | |
Business Practice Address: | 4768 Park Granada Suite 109 Calabasas, CA - 913021548 |
Business Phone Number: | 8187544564 |
Business Fax Number: | |
Mailing Address: | Po Box 1300, THOUSAND OAKS |
State: | CA |
Postal Code: | 913580300 |
Phone Number: | 8054056361 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 03/23/2015 |
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: |