Provider Demographics
NPI:1104527688
Name:BROWN-FRANK, VANESSA (LLPC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:BROWN-FRANK
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37500 GARFIELD RD STE 175
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3664
Mailing Address - Country:US
Mailing Address - Phone:586-792-5335
Mailing Address - Fax:586-792-3061
Practice Address - Street 1:37500 GARFIELD RD STE 175
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3664
Practice Address - Country:US
Practice Address - Phone:586-792-5335
Practice Address - Fax:586-792-3061
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023073101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor