MEDICARE: SCOTT BROWNLEE LPCC, LADC

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
1	101YM0800X	Mental Health Counselor	2142	MN

General Provider Information

NPI Number	:	1982149902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT BROWNLEE LPCC, LADC

Provider Business Mailing Address
First Line	:	1838 SARGENT AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-1529
Country	:	US
Telephone Number	:	651-335-4861
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 GRAND AVE STE 203
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55102-2583
Country	:	US
Telephone Number	:	651-317-4550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2016
Last Update Date	:	01/06/2024

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