Provider Demographics
NPI:1073912960
Name:NEWTON BROWN, HEATHER M (LCPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:NEWTON BROWN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04009-1241
Mailing Address - Country:US
Mailing Address - Phone:207-512-0922
Mailing Address - Fax:
Practice Address - Street 1:41 DEPOT ST
Practice Address - Street 2:
Practice Address - City:BRIDGTON
Practice Address - State:ME
Practice Address - Zip Code:04009-1241
Practice Address - Country:US
Practice Address - Phone:207-512-0922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor