Individual
KIMBERLY NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(219) 240-6241
Mailing address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(219) 240-6241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
KS
Enumeration date
11/23/2020
Last updated
11/23/2020
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