Healthcare Provider Details

I. General information

NPI: 1851748271
Provider Name (Legal Business Name): JENNIFER BROWN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 689
HURRICANE UT
84737-0689
US

IV. Provider business mailing address

PO BOX 689
HURRICANE UT
84737-0689
US

V. Phone/Fax

Practice location:
  • Phone: 442-340-8944
  • Fax:
Mailing address:
  • Phone: 442-340-8944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number130285
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number14281280-3902
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number151869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: