Individual
JONATHAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MFT
Contact information
Practice address
275 MILLER AVE STE 101, MILL VALLEY, CA 94941-2851
(415) 383-2990
Mailing address
275 MILLER AVE STE 101, MILL VALLEY, CA 94941-2851
(415) 383-2990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14513
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY14513
—
103TF0000X
Family Psychologist
PSY14513
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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