| Doctor Name: | CARL BROWN |
| NPI Number: | 1316976384 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 804 |
| Business Practice Address: | 119 W Main St Elkin, NC - 286213432 |
| Business Phone Number: | 3365268335 |
| Business Fax Number: | |
| Mailing Address: | 9064 Jefferson Woods Dr, RURAL HALL |
| State: | NC |
| Postal Code: | 270459591 |
| Phone Number: | 3365268335 |
| Fax Number: | 3365267485 |
| NPI Enumeration Date: | 07/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |