| Mark Brown | |
|
10 Town Plz 331 Durango CO 81301-5104 | |
| (970) 317-5479 | |
| Not Available |
| Full Name | Mark Brown |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10 Town Plz, Durango, Colorado |
| Authorized Official Name and Position | Mark Stephen Brown (THERAPIST) |
| Authorized Official Contact | 9703175479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Brown 1901 Main Ave Suite 101 10 Town Plaz 331 Durango CO 81301 Ph: (970) 317-5479 | Mark Brown 10 Town Plz 331 Durango CO 81301-5104 Ph: (970) 317-5479 |
| NPI Number | 1821547597 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821547597 | NPI | - | NPPES |
| 101YP2500X | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0003417 (Colorado) | Primary |
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