Provider Demographics
NPI:1578693990
Name:BROWN-DONETH, KENDRA (LPC, NCC, CAAC)
Entity Type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:
Last Name:BROWN-DONETH
Suffix:
Gender:F
Credentials:LPC, NCC, CAAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20651 W WARREN ST
Mailing Address - Street 2:MYRIAM HOUSE
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2622
Mailing Address - Country:US
Mailing Address - Phone:313-271-3050
Mailing Address - Fax:313-441-5247
Practice Address - Street 1:20651 W WARREN ST
Practice Address - Street 2:MYRIAM HOUSE
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2622
Practice Address - Country:US
Practice Address - Phone:313-271-3050
Practice Address - Fax:313-441-5247
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007800101YP2500X
MIC-00348101YA0400X
66748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)