R Brown, LCMFT

Individual provider Active NPI Marriage & Family Therapist · Annapolis, MD

NPI 1982057063 · NPPES record last updated Aug 16, 2017

Key facts

NPI
1982057063
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LCM527 (MD)
Practice address
1781 Forest Dr
Annapolis, MD 21401-4229
Phone
(443) 961-7731
NPI assigned
Jul 13, 2016
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

State licenses

LicenseStateTypeSpecialty
LCM527MDMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCM527 MD Yes

Addresses

Primary practice location

1781 Forest Dr
Annapolis, MD 21401-4229

Mailing address

209 Janwall St
Annapolis, MD 21403-1918

Other providers in Annapolis, MD

All providers in Annapolis, MD · Marriage & Family Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.