Frandrea Latrice Brown, PHD

Individual provider Active NPI Marriage & Family Therapist · Ayden, NC

NPI 1689489486 · NPPES record last updated Feb 10, 2025

Key facts

NPI
1689489486
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
00558 (NC)
Practice address
1860 Dakota Creek Dr
Ayden, NC 28513-2249
Phone
(252) 259-6618
NPI assigned
Feb 10, 2025
Sex
Female
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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00558NCMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 00558 NC Yes

Addresses

Primary practice location

1860 Dakota Creek Dr
Ayden, NC 28513-2249

Mailing address

1860 Dakota Creek Dr
Ayden, NC 28513-2249
Phone (252) 259-6618

Other providers in Ayden, NC

All providers in Ayden, NC · Marriage & Family Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.