NPI 1609396407 · live from the CMS NPI Registry
Jessica C Brown, PHD, MFT
Marriage & Family Therapist in Wasilla, AK. National Provider Identifier 1609396407, active.
NPI record
| NPI | 1609396407 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2732 S Blaire Dr, Wasilla, AK 99623 |
| Practice phone | 415-757-9745 |
| Enumerated | June 22, 2017 |
| Last updated | December 28, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 157605 (AK) |
| Marriage & Family Therapist primary | 106H00000X | T1436 (OR) |
| Marriage & Family Therapist | 106H00000X | 105959 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.