Provider Demographics
NPI:1023753860
Name:BROWN, YOLANDA FERNANDEZ (LPC)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:FERNANDEZ
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 DREAM LAKE CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3656
Mailing Address - Country:US
Mailing Address - Phone:719-229-6030
Mailing Address - Fax:
Practice Address - Street 1:1232 DREAM LAKE CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3656
Practice Address - Country:US
Practice Address - Phone:719-229-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0005109101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional