Individual provider · Type 1 NPI

J Martin Brown, PhD

Professional Counselor · Dallas, TX

NPI number 1629108162 Active

Practice location

3600 Gaston Avenue, 1155 Wadley
Dallas, TX 75246

Fax (214) 826-9340

Mailing address

3600 Gaston Ave, 1155 Wadley
Dallas, TX 75246

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0848 (TX)

Professional Counselor: Definition to come...

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About NPI 1629108162

J Martin Brown, PhD's National Provider Identifier is 1629108162, issued on Mar 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.