Individual
MRS. CAROLYN ANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1109 CARTER ST, SUITE 10, VIDALIA, LA 71373-3227
(318) 336-4700
(318) 336-4777
Mailing address
1109 CARTER ST STE 10, VIDALIA, LA 71373-3227
(318) 336-4700
(318) 336-4777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC9482
LA
101YM0800X
Mental Health Counselor
Primary
9482
LA
101YM0800X
Mental Health Counselor
PLC9482
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1561444
—
LA
05
—
3318504
—
LA
Enumeration date
01/06/2016
Last updated
03/05/2026
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