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NPI 1467960930

NPI 1467960930 : CHRISTINA LYNN LOWRY BROWN LPC, ATR, CSOTP : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1467960930
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA LYNN LOWRY BROWN LPC, ATR, CSOTP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2018
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    Last Update Date     |    07/12/2023
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Provider Practice Location Address
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    Address Line         |    501 CEDAR RD STE 2A 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23322-5527
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    Country              |    US
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    Telephone            |    757-302-8362
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    Fax                  |    757-574-0102
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Provider Business Mailing Address
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    Address Line         |    501 CEDAR RD STE 2A 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23322-5527
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    Country              |    US
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    Telephone            |    757-302-8362
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    0701007459
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    License Number State |    VA
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