Provider Demographics
NPI:1457626822
Name:BROWNFIELD, JAMIE NICHOLE (MED, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:NICHOLE
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 NEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW EAGLE
Mailing Address - State:PA
Mailing Address - Zip Code:15067-1420
Mailing Address - Country:US
Mailing Address - Phone:412-897-7753
Mailing Address - Fax:
Practice Address - Street 1:1100 ASHWOOD DR
Practice Address - Street 2:SUITE 1101
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-4981
Practice Address - Country:US
Practice Address - Phone:412-921-3908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-18
Last Update Date:2012-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional