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NPI Code Detail

MEDICARE: TRACI JO BROWN LPC

MEDICARE: TRACI JO 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 CounselorLPC24630AZ

General Provider Information

NPI Number : 1942158639
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI JO BROWN LPC
Provider Business Mailing Address
First Line : 4731 W GELDING DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4444
Country : US
Telephone Number : 602-460-6529
Fax Number :
Provider Business Practice Location Address
First Line : 3450 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2331
Country : US
Telephone Number : 602-265-8338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/24/2026

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Directions to “ TRACI JO BROWN LPC” Practice Location

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