Most Relevant Information
Provider Data
| NPI Number: | 1003584061 |
| Provider Name: | STACEY LYNN BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2021 |
| Last Updated: | 02/18/2022 |
Provider Practice Location
1300 N 12TH ST STE 550
PHOENIX
AZ
850062820
Practice Location Phone/Fax
| Phone: | 6024682077 |
| Fax: | 4806099552 |
Provider Mailing Location
PO BOX 14948
SCOTTSDALE
AZ
852674948
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |