Ethan Edred Brown

NPI #1487435962 in Bishop, California

Provider Information

NPI Number: 1487435962
Entity Type: Individual
Name: Ethan Edred Brown
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 10, 2023
Last Updated: Oct 10, 2023

Practice Location

Address: 1360 N MAIN ST
City: Bishop
State: California
ZIP Code: 93514-3013
Phone: (760) 872-4573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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