MEDICARE: NANCY L 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346061322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY L BROWN

Provider Business Mailing Address
First Line	:	390 HUNTLEY DR
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1919
Country	:	US
Telephone Number	:	310-749-3955
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 HUNTLEY DR
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1919
Country	:	US
Telephone Number	:	310-749-3955
Fax Number	:

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

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	10/22/2024

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Directions to “ NANCY L BROWN ” Practice Location

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