Provider Demographics
NPI:1639410400
Name:BROWN, MATTHEW C (LPC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:C
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 1:140 PRESTON EXECUTIVE DR
Mailing Address - Street 2:SUITE 100-R
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8488
Mailing Address - Country:US
Mailing Address - Phone:919-388-1920
Mailing Address - Fax:
Practice Address - Street 1:140 PRESTON EXECUTIVE DR
Practice Address - Street 2:SUITE 100-R
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8488
Practice Address - Country:US
Practice Address - Phone:919-388-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8393101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional