Individual
DAVID BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SMFT
Contact information
Practice address
1931 E CHERRY ST, SPRINGFIELD, MO 65802
(417) 761-5400
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14142948
CAQH
—
Enumeration date
09/05/2013
Last updated
10/22/2019
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