Individual
MR. NICHOLAS DAVID BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMHC
Contact information
Practice address
2900 PUEBLO ALTO, SANTA FE, NM 87507-2519
(505) 999-0203
(505) 792-7984
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0112861
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097780008
—
NM
Enumeration date
01/16/2009
Last updated
06/06/2018
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