Provider Demographics
NPI:1164686986
Name:BROWN, KEDAR S (LPC)
Entity Type:Individual
Prefix:MR
First Name:KEDAR
Middle Name:S
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WELLS VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-7421
Mailing Address - Country:US
Mailing Address - Phone:828-231-4290
Mailing Address - Fax:
Practice Address - Street 1:45 WELLS VALLEY DR
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:NC
Practice Address - Zip Code:28748-7421
Practice Address - Country:US
Practice Address - Phone:828-231-4290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health