Doctor Name: | MR. DOUGLAS ALAN BROWN |
NPI Number: | 1114154507 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A.,LLPC, CAADC-R |
License Number: | 034624 |
Business Practice Address: | 1741 Jarvis St Ferndale, MI - 482202067 |
Business Phone Number: | 2485820005 |
Business Fax Number: | |
Mailing Address: | 1741 Jarvis St, FERNDALE |
State: | MI |
Postal Code: | 482202067 |
Phone Number: | 2485820005 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 034624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |