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NPI Code Detail

MEDICARE: KURT A BROWN CASAC

MEDICARE: KURT A BROWN CASAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor4099NY
2101YM0800XMental Health Counselor001124NY

General Provider Information

NPI Number : 1528220605
Entity Type Code : Individual
Provider Name (Legal Business Name) : KURT A BROWN CASAC
Provider Business Mailing Address
First Line : 19 W TREMONT ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-4600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 ELM ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-3549
Country : US
Telephone Number : 518-793-7273
Fax Number : 518-798-5004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 01/02/2024

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Directions to “ KURT A BROWN CASAC” Practice Location

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