Provider Demographics
NPI:1962254177
Name:BROWN, REBECCA (LCHMHA)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCHMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-9420
Mailing Address - Country:US
Mailing Address - Phone:814-392-8493
Mailing Address - Fax:
Practice Address - Street 1:1150 SE MAYNARD RD STE 220
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4164
Practice Address - Country:US
Practice Address - Phone:919-377-0184
Practice Address - Fax:919-377-0185
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional