| Doctor Name: | MONA KIM-BROWN |
| NPI Number: | 1316024748 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | LCPC-327 |
| Business Practice Address: | 6615 Comanche St Bonners Ferry, ID - 83805 |
| Business Phone Number: | 2082671718 |
| Business Fax Number: | 2082677739 |
| Mailing Address: | Po Box 2160, SANDPOINT |
| State: | ID |
| Postal Code: | 838640908 |
| Phone Number: | 2082671718 |
| Fax Number: | 2082677739 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 05/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC-327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |