Provider Demographics
NPI:1598177867
Name:BROWN, MILTON (LPC)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 S FORT HOOD ST
Mailing Address - Street 2:F
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2308
Mailing Address - Country:US
Mailing Address - Phone:254-213-9649
Mailing Address - Fax:254-415-7326
Practice Address - Street 1:2700 S FORT HOOD ST
Practice Address - Street 2:F
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2308
Practice Address - Country:US
Practice Address - Phone:254-213-9649
Practice Address - Fax:254-415-7326
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional