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NPI Code Detail

MEDICARE: STEPHANIE BROWN LCPC

MEDICARE:   STEPHANIE  BROWN  LCPC
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 Counselor180010732IL

General Provider Information

NPI Number : 1730673203
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BROWN LCPC
Provider Business Mailing Address
First Line : 1523 N WOOD ST # 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2012
Country : US
Telephone Number : 515-779-3200
Fax Number :
Provider Business Practice Location Address
First Line : 1523 N WOOD ST # 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2012
Country : US
Telephone Number : 515-779-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 06/19/2018

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Directions to “ STEPHANIE BROWN LCPC” Practice Location

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