| Doctor Name: | CORRINA M BROWN |
| NPI Number: | 1760525703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, NCC, LPCC, LAMFT |
| License Number: | CC00061 |
| Business Practice Address: | 49725 County 83 Staples, MN - 564795280 |
| Business Phone Number: | 2188948202 |
| Business Fax Number: | |
| Mailing Address: | 10841 County Road 118, NISSWA |
| State: | MN |
| Postal Code: | 564682190 |
| Phone Number: | 2189637901 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 04/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CC00061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |