person
Amy Nichole Brown, LCMHCLASUDCLCAS
Mental Health Counselor in Provo, Utah
NPI 1750783783

Amy Nichole Brown is a Mental Health Counselor based in Provo, UT and is specialized in Mental Health. Amy Nichole Brown practices in Provo, UT and has the professional credentials of LCMHCLASUDCLCAS. The NPI Number for Amy Nichole Brown is 1750783783 and holds a License No. 310249-6008 (Utah).

The current practice location address for Amy Nichole Brown is 1185 E 300 N, Provo, UT and can be reached out via phone at 801-852-4472.

Location: 1185 E 300 N, Provo, UT, 84601-1677
person
Provider Profile Details
NPI Number
1750783783
Provider Name
Amy Nichole Brown
Credential
LCMHCLASUDCLCAS
Provider Entity Type
Individual
Gender
Female
Address
1185 E 300 N, Provo, UT, 84601-1677
Phone Number
801-852-4472
Fax Number
Provider Enumeration Date
09/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310249-6008 01 UT STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
11750 01 NC NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
23883 01 NC NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
310249-6004 01 UT STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
institution
Provider Business Practice Location Address Details
Address
1185 E 300 N
City
State
Zip
84606-3539
Phone Number
801-852-4472
Fax Number
person
Provider Business Mailing Address Details
Address
1185 E 300 N
City
State
Zip
84606-3539
Phone Number
801-852-4472
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11750 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
23883 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
310249-6008 (Utah)
Definition
Definition to come...
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