Healthcare Provider Details

I. General information

NPI: 1437285004
Provider Name (Legal Business Name): MR. DEREK ANTHONY BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 PLUMAS ST
YUBA CITY CA
95991-4437
US

IV. Provider business mailing address

1200 H ST
MARYSVILLE CA
95901-4714
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7478
  • Fax: 530-822-7484
Mailing address:
  • Phone: 530-822-7478
  • Fax: 530-822-7484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: