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General NPI Number Information
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NPI Number | 1205427721
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Entity Type | Individual
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Provider Name | ARIANA BROWN LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 1941 FRANK SCOTT PKWY E STE C
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City | SHILOH
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State | IL
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Zip | 62269-7387
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Country | US
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Telephone | 618-206-8350
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 TERRACE GREEN LN
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City | O FALLON
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State | IL
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Zip | 62269-7213
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Country | US
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Telephone | 618-698-3780
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 178.015855
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.015614
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License Number State | IL
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