Provider Demographics
NPI:1780748103
Name:BROWN, PAMELA S (LMHC, LMFT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 E 37TH AVE
Mailing Address - Street 2:PO BOX 8402
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3010
Mailing Address - Country:US
Mailing Address - Phone:509-358-4271
Mailing Address - Fax:509-455-4988
Practice Address - Street 1:12 E 5TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1309
Practice Address - Country:US
Practice Address - Phone:509-358-4271
Practice Address - Fax:509-455-4988
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010331101YM0800X
WALF00000975106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist