Provider Demographics
NPI:1891217816
Name:BROWN, SER GABRIEL (CSW)
Entity type:Individual
Prefix:
First Name:SER
Middle Name:GABRIEL
Last Name:BROWN
Suffix:
Gender:X
Credentials:CSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:3027 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4549
Mailing Address - Country:US
Mailing Address - Phone:303-859-2073
Mailing Address - Fax:
Practice Address - Street 1:3027 N HIGH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4549
Practice Address - Country:US
Practice Address - Phone:303-859-2073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health