Doctor Name: | MECHE GRACE BROWNLOW |
NPI Number: | 1538281910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAED, LPC |
License Number: | LPC-3616 |
Business Practice Address: | 888 'c' Street Plummer, ID - 83851 |
Business Phone Number: | 2086649729 |
Business Fax Number: | |
Mailing Address: | 1200 W Ironwood Dr Ste 101, COEUR D ALENE |
State: | ID |
Postal Code: | 838142660 |
Phone Number: | 2086649729 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-3616 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |