Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1326188749 |
---|---|
Provider Name | Dr. Mary Crist Brown |
First Address | Decatur, GA 30033-3405 |
Second Address | Decatur, GA 30033-3405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |