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General NPI Number Information
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NPI Number | 1841406055
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Entity Type | Individual
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Provider Name | CHERELLE D BROWN MS, LCMFT, LMAC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 11828 W CENTRAL SUITE 104
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City | WICHITA
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State | KS
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Zip | 67212-5178
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Country | US
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Telephone | 316-670-9895
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Fax | 316-928-4986
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Provider Business Mailing Address
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Address Line | 11828 W CENTRAL AVE SUITE 104
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City | WICHITA
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State | KS
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Zip | 67212-5187
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Country | US
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Telephone | 316-670-9895
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Fax | 316-928-4986
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LMAC176
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCMFT885
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License Number State | KS
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