Individual
MR. SAMUEL MATTHEW BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4581 LIFESTYLE LN, MIDLOTHIAN, VA 23112-4807
(804) 201-3506
(804) 234-3400
Mailing address
4581 LIFESTYLE LN, MIDLOTHIAN, VA 23112-4807
(804) 201-3506
(804) 234-3400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001098
VA
106H00000X
Marriage & Family Therapist
562
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10258685
—
VA
Enumeration date
11/20/2006
Last updated
11/13/2020
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