Doctor Name: | COLENA BROWN |
NPI Number: | 1164653754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | APC001181 |
Business Practice Address: | 7556 Rutgers Cir Fairburn, GA - 302135515 |
Business Phone Number: | 7024279368 |
Business Fax Number: | |
Mailing Address: | 7556 Rutgers Cir, FAIRBURN |
State: | GA |
Postal Code: | 302135515 |
Phone Number: | 7024279368 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 12/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | APC001181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |