Provider Demographics
NPI:1366991879
Name:BROWN, CAITLIN DAWSON (LMHC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:DAWSON
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PRESIDENTIAL PLZ STE LL4
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-2294
Mailing Address - Country:US
Mailing Address - Phone:315-925-7477
Mailing Address - Fax:
Practice Address - Street 1:50 PRESIDENTIAL PLZ STE LL4
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2294
Practice Address - Country:US
Practice Address - Phone:315-925-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007481101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health