Individual
DR. SIDNEY ANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
PINON & COTTONWOOD DR, BUILDING #2301, SHIPROCK, NM 87401
(505) 368-1450
(505) 368-1461
Mailing address
PO BOX 1830, SHIPROCK, NM 87420-1830
(505) 368-1450
(505) 368-1461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24174
—
101YM0800X
Mental Health Counselor
24174
—
101YP2500X
Professional Counselor
Primary
4947
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4947
—
CO
Enumeration date
01/07/2010
Last updated
08/09/2019
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