Healthcare Provider Details

I. General information

NPI: 1508790254
Provider Name (Legal Business Name): KLAIRAT BROWN AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KLAI BROWN AMFT

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 PROVIDENCE MINE RD
NEVADA CITY CA
95959-2980
US

IV. Provider business mailing address

401 VALLEY ST
NEVADA CITY CA
95959-3013
US

V. Phone/Fax

Practice location:
  • Phone: 530-771-6805
  • Fax:
Mailing address:
  • Phone: 562-412-2171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: