Provider Demographics
NPI:1679708671
Name:BROWN, JAMES OLIVER (LPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:OLIVER
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3429
Mailing Address - Country:US
Mailing Address - Phone:865-286-5637
Mailing Address - Fax:865-286-5665
Practice Address - Street 1:222 PARKWAY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3429
Practice Address - Country:US
Practice Address - Phone:865-286-5637
Practice Address - Fax:865-286-5665
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional