Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 5609 | NC |
N | 103TP2701X | Group Psychotherapist |
NPI | 1023653268 |
---|---|
Provider Name | Dr. Colton Abraham Brown |
First Address | Waynesville, NC 28786-8950 |
Second Address | Asheville, NC 28801-2467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2019 |
Last Update Date | 12/11/2019 |