Provider Demographics
NPI:1215086541
Name:BROWN, PAULA K (MS LCPC CADC)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:K
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS LCPC CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SOUTH WASHINGTON ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521
Mailing Address - Country:US
Mailing Address - Phone:630-455-4655
Mailing Address - Fax:708-784-1290
Practice Address - Street 1:102 SOUTH WASHINGTON ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521
Practice Address - Country:US
Practice Address - Phone:630-455-4655
Practice Address - Fax:708-784-1290
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CERTIFICATE20430101YA0400X
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional