Provider Demographics
NPI:1275660706
Name:BROWN, LINDA T (MFT, CTS)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:T
Last Name:BROWN
Suffix:
Gender:F
Credentials:MFT, CTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 MANCHESTER AVENUE
Mailing Address - Street 2:#204
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4900
Mailing Address - Country:US
Mailing Address - Phone:760-753-2288
Mailing Address - Fax:858-259-8711
Practice Address - Street 1:4407 MANCHESTER AVENUE
Practice Address - Street 2:#204
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4900
Practice Address - Country:US
Practice Address - Phone:760-753-2288
Practice Address - Fax:858-259-8711
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC17141106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist