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NPI Code Detail

MEDICARE: VIVIAN L BROWN LPC

MEDICARE: VIVIAN L BROWN LPC
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
1101YP2500XProfessional CounselorC1400104OH

General Provider Information

NPI Number : 1801300025
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN L BROWN LPC
Provider Business Mailing Address
First Line : 1409 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2926
Country : US
Telephone Number : 614-253-4448
Fax Number : 614-253-5005
Provider Business Practice Location Address
First Line : 1409 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2926
Country : US
Telephone Number : 614-253-4448
Fax Number : 614-253-5005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2017
Last Update Date : 11/27/2017

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Directions to “ VIVIAN L BROWN LPC” Practice Location

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