Provider Demographics
NPI:1104625334
Name:BROWN, ANGELA (LMHCA)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:BROWN
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:VLADIMIROVNA
Other - Last Name:BRATULINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHCA
Mailing Address - Street 1:13607 118TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2147
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2110 NORTHLAKE AVE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1355
Practice Address - Country:US
Practice Address - Phone:425-276-1578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60795290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health