Doctor Name: | MISS HEATHER KRISTEEN BROWN |
NPI Number: | 1255602603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BHRS |
License Number: | |
Business Practice Address: | 18736 S 585 Rd Stilwell, OK - 749602706 |
Business Phone Number: | 9189319646 |
Business Fax Number: | |
Mailing Address: | 18736 S 585 Rd, STILWELL |
State: | OK |
Postal Code: | 749602706 |
Phone Number: | 9189319646 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2012 |
NPI Last Update Date: | 01/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |