Healthcare Provider Details
I. General information
NPI: 1659195279
Provider Name (Legal Business Name): ANDREA M BROWNING MS, LAAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10901 E MCDOWELL RD
SCOTTSDALE AZ
85256-5300
US
IV. Provider business mailing address
4109 W ROSS AVE
GLENDALE AZ
85308-4708
US
V. Phone/Fax
- Phone: 480-278-7742
- Fax: 480-362-2627
- Phone: 602-316-8410
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | LAAC-15446 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: