MEDICARE: CARRIN D BROWN LGPC

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	101Y00000X	Counselor	LGP9925	MD

General Provider Information

NPI Number	:	1578187118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIN D BROWN LGPC

Provider Business Mailing Address
First Line	:	11329 FLAG CT
Second Line	:
City	:	WHITE PLAINS
State	:	MD
Zip	:	20695-4138
Country	:	US
Telephone Number	:	240-412-3458
Fax Number	:

Provider Business Practice Location Address
First Line	:	8181 PROFESSIONAL PL
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2226
Country	:	US
Telephone Number	:	202-400-7524
Fax Number	:

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

Provider Enumeration Date	:	05/29/2020
Last Update Date	:	05/29/2020

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