| Doctor Name: | ANITA MARIE BROWN |
| NPI Number: | 1447676598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 29667 |
| Business Practice Address: | 346 Forest Blvd Park Forest, IL - 604662005 |
| Business Phone Number: | 7087854879 |
| Business Fax Number: | |
| Mailing Address: | 346 Forest Blvd, PARK FOREST |
| State: | IL |
| Postal Code: | 604662005 |
| Phone Number: | 7087854879 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2014 |
| NPI Last Update Date: | 03/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 29667 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |