Individual
DOUGLAS E. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LISAC
Contact information
Practice address
4202 N 32ND ST STE I, PHOENIX, AZ 85018-4765
(602) 478-1880
Mailing address
4202 N 32ND ST STE I, PHOENIX, AZ 85018-4765
(602) 478-1880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-15060
AZ
101YM0800X
Mental Health Counselor
Primary
LAC-16190
AZ
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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