Provider Demographics
NPI:1932918166
Name:BROWN, EVAN ANDREW (UNLICENSED THERAPIST)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:ANDREW
Last Name:BROWN
Suffix:
Gender:M
Credentials:UNLICENSED THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3169 S JOPLIN CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1761
Mailing Address - Country:US
Mailing Address - Phone:720-616-8732
Mailing Address - Fax:
Practice Address - Street 1:3169 S JOPLIN CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1761
Practice Address - Country:US
Practice Address - Phone:720-616-8732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0110121101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral