Provider Demographics
NPI:1851738371
Name:BROWN, JANETTE G (MCAP)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:G
Last Name:BROWN
Suffix:
Gender:F
Credentials:MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12700 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4806
Mailing Address - Country:US
Mailing Address - Phone:619-243-4366
Mailing Address - Fax:
Practice Address - Street 1:12700 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4806
Practice Address - Country:US
Practice Address - Phone:786-329-4600
Practice Address - Fax:305-892-1571
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPCCI1918101YP2500X
CAIMF83107106H00000X
FLMCAP0101016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0101016OtherFLORIDA CERTIFICATION BOARD