MEDICARE: MRS. BARBARA JEAN BROWN MC MFT 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
1	101Y00000X	Counselor	12928	AZ

General Provider Information

NPI Number	:	1598931768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA JEAN BROWN MC MFT LPC

Provider Business Mailing Address
First Line	:	632 W ASTER CT
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-3856
Country	:	US
Telephone Number	:	602-540-4048
Fax Number	:	480-272-9876

Provider Business Practice Location Address
First Line	:	1490 SOUTH PRICE ROAD
Second Line	:	SUITE 108
City	:	CHANDLER
State	:	AZ
Zip	:	85248
Country	:	US
Telephone Number	:	602-540-4048
Fax Number	:	480-786-1144

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

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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