Provider Demographics
NPI:1174878789
Name:BROWNLEE, ALLISON V (LMFT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:V
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 KENYON ST
Mailing Address - Street 2:STE 102
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-5349
Mailing Address - Country:US
Mailing Address - Phone:858-333-7635
Mailing Address - Fax:
Practice Address - Street 1:3575 KENYON ST
Practice Address - Street 2:STE 102
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-5349
Practice Address - Country:US
Practice Address - Phone:858-333-7635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89484106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist