Provider Demographics
NPI:1033249917
Name:BROWN, KARI LEE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:LEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1012
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93483-1012
Mailing Address - Country:US
Mailing Address - Phone:805-709-8891
Mailing Address - Fax:
Practice Address - Street 1:200 SUBURBAN RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7505
Practice Address - Country:US
Practice Address - Phone:805-709-8891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45096106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist