Individual
KEVIN LEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
446 FAIRWAY DR, GALT, CA 95632-2012
(209) 712-0466
(209) 712-0466
Mailing address
1050 SHALFORD WAY, GALT, CA 95632-3771
(208) 712-0466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
40221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40221
LICENSED MARRIAGE AND FAMILY THERAPIST
CA
Enumeration date
12/04/2017
Last updated
12/04/2017
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