Individual
IMANI BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC-INTERN
Contact information
Practice address
600 STRADA CIR STE 220, MANSFIELD, TX 76063-3209
(214) 686-5856
Mailing address
600 STRADA CIR STE 220, MANSFIELD, TX 76063-3209
(214) 686-5856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82553
TX
101YM0800X
Mental Health Counselor
82553
TX
Other
Enumeration date
02/18/2020
Last updated
02/20/2020
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