Provider Demographics
NPI:1023653268
Name:BROWN, COLTON ABRAHAM (PHD, HSP-P)
Entity type:Individual
Prefix:DR
First Name:COLTON
Middle Name:ABRAHAM
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHD, HSP-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WILKINSON PASS LN APT 204
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-8950
Mailing Address - Country:US
Mailing Address - Phone:706-424-6563
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 237
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2467
Practice Address - Country:US
Practice Address - Phone:706-424-6563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TP2701X
NC5609103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy