Provider Demographics
NPI:1215176920
Name:BROWNER, SUSAN MCCLURE (M DIV)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MCCLURE
Last Name:BROWNER
Suffix:
Gender:F
Credentials:M DIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 GOLFVIEW RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1214
Mailing Address - Country:US
Mailing Address - Phone:404-816-7171
Mailing Address - Fax:404-636-0849
Practice Address - Street 1:405 GOLFVIEW RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1214
Practice Address - Country:US
Practice Address - Phone:404-816-7171
Practice Address - Fax:404-636-0849
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral