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NPI Code Detail

MEDICARE: DARRELL BROWN MHC

MEDICARE: DARRELL BROWN MHC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1780752931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRELL BROWN MHC
Provider Business Mailing Address
First Line : 81 GARFIELD DR
Second Line :
City : BRATTLEBORO
State : VT
Zip : 05301-7138
Country : US
Telephone Number : 802-254-4862
Fax Number :
Provider Business Practice Location Address
First Line : 215 SHELBURNE RD
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-9622
Country : US
Telephone Number : 413-774-1000
Fax Number : 413-774-1197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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