Individual
LATITIA D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 986-9633
Mailing address
5712 EUCLID AVE NE, ALBUQUERQUE, NM 87110-4009
(773) 931-1151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-0125311
NM
101YP2500X
Professional Counselor
Primary
T-0154431
NM
Other
Enumeration date
10/07/2009
Last updated
11/16/2012
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