Provider Demographics
NPI:1164912846
Name:BROWN, ANN-MARIE (MED, MFT, AC, LPC)
Entity Type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MED, MFT, AC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 WINDSOR AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-4540
Mailing Address - Country:US
Mailing Address - Phone:860-726-3442
Mailing Address - Fax:860-461-0659
Practice Address - Street 1:ONE CONGRESS STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114
Practice Address - Country:US
Practice Address - Phone:860-461-0504
Practice Address - Fax:860-461-0659
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003294101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional