Provider Demographics
NPI:1700180163
Name:BROWN, CAMERON C (PHD, LMFT-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:C
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHD, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5504 WAYNE AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-4137
Mailing Address - Country:US
Mailing Address - Phone:806-853-7292
Mailing Address - Fax:
Practice Address - Street 1:5504 WAYNE AVE STE 109
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-4137
Practice Address - Country:US
Practice Address - Phone:806-853-7292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203742106H00000X
KS2691106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist