Individual
BLANCHE C BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT, LPC
Contact information
Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4390226
WI
101YM0800X
Mental Health Counselor
8256-125
WI
106H00000X
Marriage & Family Therapist
Primary
—
—
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467010413
—
WI
Enumeration date
06/04/2019
Last updated
05/23/2023
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