MEDICARE: MRS. KAREN KRISTINE BROWN MA

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	101YM0800X	Mental Health Counselor	LH60309277	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225329105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN KRISTINE BROWN MA

Provider Business Mailing Address
First Line	:	1624 W DEAN AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-1825
Country	:	US
Telephone Number	:	509-936-6863
Fax Number	:	509-464-6463

Provider Business Practice Location Address
First Line	:	1624 W DEAN AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-1825
Country	:	US
Telephone Number	:	509-939-6360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	11/21/2024

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