Healthcare Provider Details

I. General information

NPI: 1346930757
Provider Name (Legal Business Name): HELEN BROWN MED, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 26TH AVE S
SEATTLE WA
98144-3063
US

IV. Provider business mailing address

930 26TH AVE S
SEATTLE WA
98144-3063
US

V. Phone/Fax

Practice location:
  • Phone: 571-225-8994
  • Fax:
Mailing address:
  • Phone: 571-225-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number572419J
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: