MEDICARE: BROWNING THERAPY GROUP, A PROFESSIONAL COUNSELING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1164465308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWNING THERAPY GROUP, A PROFESSIONAL COUNSELING CORPORATION

Provider Business Mailing Address
First Line	:	5122 KATELLA AVE
Second Line	:	SUITE 305
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2831
Country	:	US
Telephone Number	:	562-596-2142
Fax Number	:	562-799-6657

Provider Business Practice Location Address
First Line	:	5122 KATELLA AVE
Second Line	:	SUITE 305
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2831
Country	:	US
Telephone Number	:	562-596-2142
Fax Number	:	562-799-6657

Authorized Official
Title or Position	:	PRESIDENT/CLINICAL DIRECTOR
Name	:	DR. CHARLES H BROWNING
Credential	:	PH.D.
Telephone Number	:	562-596-2142

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	08/22/2020

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