Provider Demographics
NPI:1316607211
Name:JONATHAN BROWN PLLC
Entity type:Organization
Organization Name:JONATHAN BROWN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-395-4340
Mailing Address - Street 1:160 NW GILMAN BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-2549
Mailing Address - Country:US
Mailing Address - Phone:425-395-4340
Mailing Address - Fax:888-980-6769
Practice Address - Street 1:160 NW GILMAN BLVD STE 308
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2549
Practice Address - Country:US
Practice Address - Phone:425-395-4340
Practice Address - Fax:888-980-6769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty