Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 3996W | FL |
N | 101YM0800X | Mental Health Counselor | 50177 | FL |
Y | 101YP2500X | Professional Counselor | IMH 5134 | FL |
N | 101YS0200X | School Counselor | IMH 5134 | FL |
NPI | 1134387574 |
---|---|
Provider Name | Dr. Dorothy Marie Brown |
First Address | Pensacola, FL 32503-5510 |
Second Address | Pensacola, FL 32503-5510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2008 |
Last Update Date | 31/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1550106 | STATE OF FLORIDA -CHILDREN AND FAMILES (01) | FL |
23293 | NATIONAL ASSOCIATION OF FORENSIC COUNSELORS (01) | IN |
3996W | FLORIDA CERTIFICATION BOARD (01) | FL |
50177 | FLORIDA CERTIFICATION BOARD (01) | FL |
B0103211038 | BREINING INSTITUTE (01) | |
DD 786260 | STATE OF FLORIDA, NOTARY REPUBLIC (01) | FL |
IMH 5134 | FLORIDA DEPARTMENT OF HEALTH (01) | FL |