Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Edred Brown

Individual provider Counselor · NPI 1487435962

Ethan Edred Brown is a Counselor in Bishop, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1360 N Main St
Bishop, CA 93514-3013
Phone: (760) 872-4573
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1487435962
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address1360 N Main St, Bishop, CA 93514-3013

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