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NPI Code Detail

MEDICARE: MS. KRISTI LYNN BROWN M. A., LMFT

MEDICARE: MS. KRISTI LYNN BROWN M. A., LMFT
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
1106H00000XMarriage & Family Therapist1385MN

General Provider Information

NPI Number : 1811107766
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTI LYNN BROWN M. A., LMFT
Provider Business Mailing Address
First Line : 9400 ZANE AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1814
Country : US
Telephone Number : 763-762-8800
Fax Number :
Provider Business Practice Location Address
First Line : 5500 94TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1992
Country : US
Telephone Number : 763-762-6800
Fax Number : 763-315-6685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 11/11/2020

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