Provider Demographics
NPI:1255652038
Name:BROWN, CLARE (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:CLARE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 MORDECAI DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1345
Mailing Address - Country:US
Mailing Address - Phone:919-601-9587
Mailing Address - Fax:
Practice Address - Street 1:1326 MORDECAI DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1345
Practice Address - Country:US
Practice Address - Phone:919-601-9587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7834101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health