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NPI 1144009341

NPI 1144009341 : ADAM BROWN AMFT : ARCATA, CA

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General NPI Number Information
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    NPI Number           |    1144009341
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM BROWN AMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/26/2023
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    Last Update Date     |    03/27/2025
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Provider Practice Location Address
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    Address Line         |    991 10TH ST 
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    City                 |    ARCATA
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    State                |    CA
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    Zip                  |    95521-6114
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    Country              |    US
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    Telephone            |    707-296-9295
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1470 BUTTERMILK LN 
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    City                 |    ARCATA
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    State                |    CA
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    Zip                  |    95521-6910
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    153366
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    License Number State |    CA
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