Healthcare Provider Details

I. General information

NPI: 1770120156
Provider Name (Legal Business Name): CHRISTOPHER L BROWN LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23860 HAWTHORNE BLVD STE 200
TORRANCE CA
90505-8201
US

IV. Provider business mailing address

9333 S VAN NESS AVE
INGLEWOOD CA
90305-3039
US

V. Phone/Fax

Practice location:
  • Phone: 310-791-3064
  • Fax: 310-791-3084
Mailing address:
  • Phone: 323-864-2209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: