Provider Demographics
NPI:1629858428
Name:BROWN, CARLETON H (PHD, CSC, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:CARLETON
Middle Name:H
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHD, CSC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2168 ENCHANTED BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-7501
Mailing Address - Country:US
Mailing Address - Phone:501-514-8344
Mailing Address - Fax:
Practice Address - Street 1:2168 ENCHANTED BRIDGE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-7501
Practice Address - Country:US
Practice Address - Phone:501-514-8344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77157103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling