Provider Demographics
NPI:1851368781
Name:BROWN, BARBARA ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:328 KINDRECK RD
Mailing Address - Street 2:
Mailing Address - City:MOUTH OF WILSON
Mailing Address - State:VA
Mailing Address - Zip Code:24363-3106
Mailing Address - Country:US
Mailing Address - Phone:336-846-1167
Mailing Address - Fax:336-846-1456
Practice Address - Street 1:224 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-0816
Practice Address - Country:US
Practice Address - Phone:336-846-1167
Practice Address - Fax:336-846-1456
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3359101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102770Medicaid
NCN/AOtherMEDCOST
NC1344KOtherBCBS OF NC
NC2120083OtherCIGNA