MEDICARE: MARY J. BROWN

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	101Y00000X	Counselor	6401018269	MI

General Provider Information

NPI Number	:	1295248821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY J. BROWN

Provider Business Mailing Address
First Line	:	3516 GLENBROOK DR
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-2107
Country	:	US
Telephone Number	:	517-303-9577
Fax Number	:

Provider Business Practice Location Address
First Line	:	6920 S CEDAR ST STE 8
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-6924
Country	:	US
Telephone Number	:	517-303-9577
Fax Number	:

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

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	09/09/2025

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Directions to “ MARY J. BROWN ” Practice Location

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