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NPI Code Detail

MEDICARE: MRS. ROXANNA BROWN LMFT-A

MEDICARE: MRS. ROXANNA BROWN LMFT-A
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
1101YM0800XMental Health Counselor204940TX

General Provider Information

NPI Number : 1073395505
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROXANNA BROWN LMFT-A
Provider Business Mailing Address
First Line : 2214 WHEATON TRL
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-1713
Country : US
Telephone Number : 310-766-0987
Fax Number :
Provider Business Practice Location Address
First Line : 11824 JOLLYVILLE RD STE 103
Second Line :
City : AUSTIN
State : TX
Zip : 78759-2318
Country : US
Telephone Number : 512-766-3510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2023
Last Update Date : 11/21/2023

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Directions to “ MRS. ROXANNA BROWN LMFT-A” Practice Location

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