Provider Demographics
NPI:1467596957
Name:BROWN, ANDREW S (LMHC)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:S
Last Name:BROWN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4317
Mailing Address - Country:US
Mailing Address - Phone:617-263-7744
Mailing Address - Fax:617-248-9855
Practice Address - Street 1:3 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4317
Practice Address - Country:US
Practice Address - Phone:617-263-7744
Practice Address - Fax:617-248-9855
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health