Healthcare Provider Details

I. General information

NPI: 1780278143
Provider Name (Legal Business Name): WILLIAM WILSON BROWN JR. LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3771 RIO RD STE 111
CARMEL CA
93923-8671
US

IV. Provider business mailing address

3771 RIO RD STE 111
CARMEL CA
93923-8671
US

V. Phone/Fax

Practice location:
  • Phone: 831-293-7300
  • Fax: 831-293-1580
Mailing address:
  • Phone: 831-293-7300
  • Fax: 831-293-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT164968
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: