MEDICARE: MRS. KARI LEE BROWN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC45096	CA

General Provider Information

NPI Number	:	1033249917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARI LEE BROWN LMFT

Provider Business Mailing Address
First Line	:	PO BOX 1012
Second Line	:
City	:	GROVER BEACH
State	:	CA
Zip	:	93483-1012
Country	:	US
Telephone Number	:	805-709-8891
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 SUBURBAN RD
Second Line	:	SUITE A-1
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-7505
Country	:	US
Telephone Number	:	805-709-8891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	02/06/2012

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