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Individual

AMY NICHOLE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC LASUDC LCAS

Contact information

Practice address
1185 E 300 N, PROVO, UT 84606-3539
(801) 852-4472
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4670

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23883
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
310249-6008
UT
101YM0800X
Mental Health Counselor
11750
NC
101YM0800X
Mental Health Counselor
Primary
310249-6004
UT
101YP2500X
Professional Counselor
11750
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11750
NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
01
23883
NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
NC
01
310249-6004
STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
UT
01
310249-6008
STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
UT
Enumeration date
09/22/2014
Last updated
04/27/2023
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