Provider Demographics
NPI:1982097341
Name:BROWN, SUNAURA SKYE (MA)
Entity Type:Individual
Prefix:
First Name:SUNAURA
Middle Name:SKYE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:HASSINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:51 WATER ST STE 210
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1841
Mailing Address - Country:US
Mailing Address - Phone:541-326-7495
Mailing Address - Fax:458-658-5550
Practice Address - Street 1:51 WATER ST STE 210
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1841
Practice Address - Country:US
Practice Address - Phone:541-326-7495
Practice Address - Fax:458-658-5550
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC6091101YM0800X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist