MEDICARE: PAMELA 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	LPC-22754	AZ

General Provider Information

NPI Number	:	1326610999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA BROWN

Provider Business Mailing Address
First Line	:	5734 S 21ST TER
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-3446
Country	:	US
Telephone Number	:	616-446-2583
Fax Number	:

Provider Business Practice Location Address
First Line	:	5734 S 21ST TER
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-3446
Country	:	US
Telephone Number	:	602-830-2040
Fax Number	:

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

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	12/14/2025

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