Justin Brown, LPC
Individual provider Active NPI Professional Counselor · Terrell, TX
NPI 1053818294 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1053818294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 65283 (TX)
- Practice address
- 400 Airport Rd
Terrell, TX 75160-4302 - Phone
- (972) 524-4159
- Fax
- (972) 524-1002
- NPI assigned
- Apr 12, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65283 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65283 | TX | Yes |
Addresses
Primary practice location
400 Airport Rd
Terrell, TX 75160-4302
Mailing address
PO Box 747
Terrell, TX 75160-0014
Other providers in Terrell, TX
- O'Delia Bradshaw
- Bright Smile Dental Clinic
- Jasmine Moire Brocker
- Brookshire Grocery Company
- Janie H. Broshous
- Nancy Broyles
- Mark Bruce
- Teresa Bruno
- Jami Renee Bryan
- Joanna Buckner
All providers in Terrell, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.