Provider Demographics
NPI:1548093446
Name:BROWN, ANNAH (MSW)
Entity type:Individual
Prefix:MS
First Name:ANNAH
Middle Name:
Last Name:BROWN
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1030 W GOLD ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2216
Mailing Address - Country:US
Mailing Address - Phone:406-690-3618
Mailing Address - Fax:
Practice Address - Street 1:1720 FOUR MILE RD
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-0907
Practice Address - Country:US
Practice Address - Phone:406-299-3768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT71682101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)