Provider Demographics
NPI:1215335252
Name:BROWN, HERBERT LEE JR (CAC III, MA)
Entity type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:LEE
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:CAC III, MA
Other - Prefix:
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Mailing Address - Street 1:3804 W PRINCETON CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3111
Mailing Address - Country:US
Mailing Address - Phone:303-333-4280
Mailing Address - Fax:303-333-0104
Practice Address - Street 1:3804 W PRINCETON CIR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3111
Practice Address - Country:US
Practice Address - Phone:303-333-4280
Practice Address - Fax:303-333-0104
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2956101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)