Individual
MS. MITZI DIANNE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LPC
Contact information
Practice address
335 BOUNDLESS LN, CANTON, GA 30114-5381
(941) 979-6575
(941) 564-0258
Mailing address
335 BOUNDLESS LN, CANTON, GA 30114-5381
(941) 979-6575
(941) 564-0258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14665
GA
101YM0800X
Mental Health Counselor
MH19437
FL
101YM0800X
Mental Health Counselor
RMCHI17794
FL
Other
Enumeration date
11/24/2018
Last updated
04/22/2025
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