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General NPI Number Information
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NPI Number | 1225777295
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Entity Type | Organization
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Legal Business Name | GABRIELLE BROWN COUNSELING, PLLC
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Dates
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Enumeration Date | 05/29/2022
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 5104 LIBERTY DR
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City | TRAVERSE CITY
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State | MI
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Zip | 49685-8964
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Country | US
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Telephone | 734-904-5514
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Fax |
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Provider Business Mailing Address
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Address Line | 5104 LIBERTY DR
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City | TRAVERSE CITY
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State | MI
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Zip | 49685-8964
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Country | US
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Telephone | 734-904-5514
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELLE LOIS BROWN
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Credential | LMSW
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Telephone | 734-904-5514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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