Provider Demographics
NPI:1841741956
Name:BROWN, CIARA
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 E CHESTNUT AVE APT A4
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5014
Mailing Address - Country:US
Mailing Address - Phone:856-285-3844
Mailing Address - Fax:
Practice Address - Street 1:1123 E CHESTNUT AVE APT A4
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5014
Practice Address - Country:US
Practice Address - Phone:856-285-3844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health