Provider Demographics
NPI:1346356706
Name:BROWN, ALICIA DOLORES (MA,LPC)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:DOLORES
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3570 DAVID K DR
Mailing Address - Street 2:#108
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-1315
Mailing Address - Country:US
Mailing Address - Phone:248-623-7232
Mailing Address - Fax:248-623-1134
Practice Address - Street 1:3570 DAVID K DR
Practice Address - Street 2:#108
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-1315
Practice Address - Country:US
Practice Address - Phone:248-623-7232
Practice Address - Fax:248-623-1134
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional