Provider Demographics
NPI:1437573904
Name:BROWN, JANETTE (MFT)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:M
Other - Middle Name:JANETTE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:4319 SW OREGON ST APT 301
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4144
Mailing Address - Country:US
Mailing Address - Phone:206-524-3645
Mailing Address - Fax:
Practice Address - Street 1:600 1ST AVE # 627
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2210
Practice Address - Country:US
Practice Address - Phone:206-524-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14507106H00000X
WAMFC14507106H00000X
WA00001173106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA00001173OtherWA STATE DEPARTMENT OF HEALTH
CA14507OtherDCA BOARD OF BEHAVIORAL SCIENCES