Individual
CORRINA M BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPCC, LAMFT
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-8202
Mailing address
10841 COUNTY ROAD 118, NISSWA, MN 56468-2190
(218) 963-7901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00061
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760525703
—
MN
Enumeration date
02/15/2007
Last updated
04/21/2010
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