| Doctor Name: | KATHY J BROWN |
| NPI Number: | 1477943629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LMHC |
| License Number: | 39002041A |
| Business Practice Address: | 1260 E Buckeye St North Vernon, IN - 472658343 |
| Business Phone Number: | 8123464468 |
| Business Fax Number: | 8123464341 |
| Mailing Address: | 645 S Rogers St, BLOOMINGTON |
| State: | IN |
| Postal Code: | 474032353 |
| Phone Number: | 8123391691 |
| Fax Number: | 8123372438 |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39002041A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |