Provider Demographics
NPI:1588544431
Name:BROWN, DANIELLE NICOLE (LCPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NICOLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 BEAR CREEK LOOP
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:MT
Mailing Address - Zip Code:59720-9717
Mailing Address - Country:US
Mailing Address - Phone:406-536-0495
Mailing Address - Fax:
Practice Address - Street 1:472 BEAR CREEK LOOP
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:MT
Practice Address - Zip Code:59720-9717
Practice Address - Country:US
Practice Address - Phone:406-536-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-81318101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health