Provider Demographics
NPI:1265133607
Name:BROWN, ISIAH III (LPC)
Entity type:Individual
Prefix:MR
First Name:ISIAH
Middle Name:
Last Name:BROWN
Suffix:III
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 1:4 CLAREMONT PL FL 1
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4806
Mailing Address - Country:US
Mailing Address - Phone:973-626-2751
Mailing Address - Fax:
Practice Address - Street 1:4 CLAREMONT PL FL 1
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4806
Practice Address - Country:US
Practice Address - Phone:973-626-2751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00906900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional