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NPI Code Detail

MEDICARE: MICHELLE KRISTIN BROWN

MEDICARE: MICHELLE KRISTIN 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
1101YM0800XMental Health Counselor3067MN

General Provider Information

NPI Number : 1881967594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE KRISTIN BROWN
Provider Business Mailing Address
First Line : 2115 COUNTY ROAD D E
Second Line : SUITE B
City : MAPLEWOOD
State : MN
Zip : 55109-5353
Country : US
Telephone Number : 651-748-5019
Fax Number : 651-773-7591
Provider Business Practice Location Address
First Line : 2115 COUNTY ROAD D E
Second Line : SUITE B
City : MAPLEWOOD
State : MN
Zip : 55109-5353
Country : US
Telephone Number : 651-748-5019
Fax Number : 651-773-7591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2012
Last Update Date : 04/20/2026

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Directions to “ MICHELLE KRISTIN BROWN ” Practice Location

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