Individual
MICAH EDWARD BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
6507 FERGUSON ST STE 201, INDIANAPOLIS, IN 46220-0019
(317) 253-0568
Mailing address
2620 E 12TH ST, INDIANAPOLIS, IN 46201-1314
(317) 379-1174
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000405A
IN
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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