Doctor Name: | CYNTHIA DENISE BROWN |
NPI Number: | 1578885927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCDC, LMSW |
License Number: | 8271 |
Business Practice Address: | 711 Roaring Springs Dr Glenn Heights, TX - 751547925 |
Business Phone Number: | 2146042392 |
Business Fax Number: | |
Mailing Address: | 3501 E Gore Blvd Apt 1118, LAWTON |
State: | OK |
Postal Code: | 735016859 |
Phone Number: | 2146042392 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2010 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 8271 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |