Individual
MRS. ANGELA RAE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1910 ELM AVE, SUITE 104, MEDFORD, OR 97501-1724
(541) 941-0490
(800) 342-2196
Mailing address
931 JUANITA WAY, CENTRAL POINT, OR 97502-2883
(541) 941-0490
(800) 342-2196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C2209
OR
101YM0800X
Mental Health Counselor
Primary
L2209
OR
101YP2500X
Professional Counselor
C2209
OR
Other
Enumeration date
05/28/2009
Last updated
08/04/2016
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