Provider Demographics
NPI:1568728483
Name:BROWNING, KRISTEN ANN (MA, LPC, CAADC)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:ANN
Last Name:BROWNING
Suffix:
Gender:F
Credentials:MA, LPC, CAADC
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:ANN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,LPC,CAADC
Mailing Address - Street 1:22370 STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-6950
Mailing Address - Country:US
Mailing Address - Phone:269-599-6481
Mailing Address - Fax:269-467-3075
Practice Address - Street 1:677 E MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:CENTREVILLE
Practice Address - State:MI
Practice Address - Zip Code:49032
Practice Address - Country:US
Practice Address - Phone:269-467-1000
Practice Address - Fax:269-467-3075
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012696101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1708146Medicaid