Powell Ronald Brown, LPC, LMFT

Individual provider Active NPI Professional Counselor · Natchitoches, LA

NPI 1659464147 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1659464147
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
299 (LA)
Practice address
859 Fish Hatchery Road
Natchitoches, LA 71457
Phone
(318) 352-1153
Fax
(318) 352-1159
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
299LAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 299 LA Yes

Addresses

Primary practice location

859 Fish Hatchery Road
Natchitoches, LA 71457

Mailing address

859 Fish Hatchery Road
Natchitoches, LA 71457
Phone (318) 352-1153

Other providers in Natchitoches, LA

All providers in Natchitoches, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.