Provider Demographics
NPI:1649548025
Name:BROWNE, SANDRA LEE (MA)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LEE
Last Name:BROWNE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:301 E ARROW HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3364
Mailing Address - Country:US
Mailing Address - Phone:909-293-7861
Mailing Address - Fax:909-447-8731
Practice Address - Street 1:301 E ARROW HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3364
Practice Address - Country:US
Practice Address - Phone:909-293-7861
Practice Address - Fax:909-447-8731
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor