Provider Demographics
NPI:1598931768
Name:BROWN, BARBARA JEAN (MC MFT LPC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JEAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MC MFT LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 W ASTER CT
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3856
Mailing Address - Country:US
Mailing Address - Phone:602-540-4048
Mailing Address - Fax:480-272-9876
Practice Address - Street 1:1490 SOUTH PRICE ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248
Practice Address - Country:US
Practice Address - Phone:602-540-4048
Practice Address - Fax:480-786-1144
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12928101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor