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NPI Code Detail

MEDICARE: KEVIN BROWN MA

MEDICARE: KEVIN 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
1101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17437OTHERTNTENNESSEE DEPARTMENT OF HEALTH, BOARD FOR LICENSED PROFESSIONAL COUNSELORS

General Provider Information

NPI Number : 1801628995
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN BROWN MA
Provider Business Mailing Address
First Line : 806 CLOVER LN
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-2377
Country : US
Telephone Number : 931-723-0380
Fax Number :
Provider Business Practice Location Address
First Line : 806 CLOVER LN
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-2377
Country : US
Telephone Number : 931-723-0380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2024
Last Update Date : 04/07/2025

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Directions to “ KEVIN BROWN MA” Practice Location

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