Provider Demographics
NPI:1265821821
Name:BROWNE, ALVIN (LICENSED INTERN MFT)
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:
Last Name:BROWNE
Suffix:
Gender:M
Credentials:LICENSED INTERN MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 TOTANO DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030
Mailing Address - Country:US
Mailing Address - Phone:702-372-3698
Mailing Address - Fax:
Practice Address - Street 1:4205 TOTANO DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2667
Practice Address - Country:US
Practice Address - Phone:702-372-3698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health