Provider Demographics
NPI:1073658712
Name:BROWNING, MAGGIE M (LMFT)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:M
Last Name:BROWNING
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 1:318 WESTERN AVE
Mailing Address - Street 2:#4
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2919
Mailing Address - Country:US
Mailing Address - Phone:707-237-8238
Mailing Address - Fax:
Practice Address - Street 1:318 WESTERN AVE
Practice Address - Street 2:#4
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2919
Practice Address - Country:US
Practice Address - Phone:707-237-8238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41828106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1397OtherMEDI-CAL ID NUMBER