NPI 1205316601

Tanner Corbin Brown

Practitioner Mental Health Counselor Judsonia, AR

Practice location

Address: 120 Meghan Ln, Judsonia, AR 72081-9302
Phone: (940) 391-5421

Registered specialties (2)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence A1609122 (AR)

Other Counselor providers in Arkansas →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence F1609014 (AR)

Registry record

NPI: 1205316601
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2018
Record last updated: 16 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.