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NPI Code Detail

MEDICARE: MR. KEITH MICHAEL BROWN LPC

MEDICARE:  MR. KEITH MICHAEL BROWN  LPC
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
1101YP2500XProfessional Counselor5433LA

General Provider Information

NPI Number : 1447637103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEITH MICHAEL BROWN LPC
Provider Business Mailing Address
First Line : 1309 CARROLLTON AVE APT 320
Second Line :
City : METAIRIE
State : LA
Zip : 70005-1889
Country : US
Telephone Number : 504-813-1350
Fax Number :
Provider Business Practice Location Address
First Line : 1 GALLERIA BLVD STE 1900
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7553
Country : US
Telephone Number : 504-321-1941
Fax Number : 504-613-4923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2015
Last Update Date : 03/17/2018

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Directions to “ MR. KEITH MICHAEL BROWN LPC” Practice Location

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