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General NPI Number Information
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NPI Number | 1942158639
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Entity Type | Individual
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Provider Name | TRACI JO BROWN LPC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 3450 N 3RD ST
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City | PHOENIX
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State | AZ
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Zip | 85012-2331
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Country | US
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Telephone | 602-265-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 4731 W GELDING DR
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City | GLENDALE
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State | AZ
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Zip | 85306-4444
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Country | US
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Telephone | 602-460-6529
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC24630
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License Number State | AZ
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