Provider Demographics
NPI:1679703938
Name:BROWNE, COLIN MACKINLEY SR (LCPC)
Entity Type:Individual
Prefix:MR
First Name:COLIN
Middle Name:MACKINLEY
Last Name:BROWNE
Suffix:SR
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 CRESSIDA PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-7620
Mailing Address - Country:US
Mailing Address - Phone:850-377-5388
Mailing Address - Fax:
Practice Address - Street 1:4035 CRESSIDA PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-7620
Practice Address - Country:US
Practice Address - Phone:850-377-5388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional