Provider Demographics
NPI:1043731136
Name:BROWN, DEANNA SHARON (LMFTA, CDPT)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:SHARON
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMFTA, CDPT
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:SHARON
Other - Last Name:LAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 23RD AVE SE STE A
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-4501
Mailing Address - Country:US
Mailing Address - Phone:253-987-5561
Mailing Address - Fax:253-697-3730
Practice Address - Street 1:102 23RD AVE SE STE A
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-4501
Practice Address - Country:US
Practice Address - Phone:253-987-5561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60670084101YA0400X
WAMG60897185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)