Provider Demographics
NPI:1578811568
Name:BROWN, LORELLE F (MA, CBT)
Entity Type:Individual
Prefix:MS
First Name:LORELLE
Middle Name:F
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA, CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 N CEDAR AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3838
Mailing Address - Country:US
Mailing Address - Phone:559-261-4100
Mailing Address - Fax:559-261-4101
Practice Address - Street 1:7405 N CEDAR AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3838
Practice Address - Country:US
Practice Address - Phone:559-261-4100
Practice Address - Fax:559-261-4101
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor