Provider Demographics
NPI:1578187118
Name:BROWN, CARRIN D (LGPC)
Entity Type:Individual
Prefix:
First Name:CARRIN
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11329 FLAG CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-4138
Mailing Address - Country:US
Mailing Address - Phone:240-412-3458
Mailing Address - Fax:
Practice Address - Street 1:8181 PROFESSIONAL PL
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2226
Practice Address - Country:US
Practice Address - Phone:202-400-7524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP9925101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor