Provider Demographics
NPI:1356662233
Name:BROWNE, CAMERON
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:BROWNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 N 290 W
Mailing Address - Street 2:STE. 150
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-1810
Mailing Address - Country:US
Mailing Address - Phone:801-406-8994
Mailing Address - Fax:
Practice Address - Street 1:199 N 290 W
Practice Address - Street 2:STE. 150
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-1810
Practice Address - Country:US
Practice Address - Phone:801-406-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
UT8152360-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor