Individual
JODY LYN BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
246 PEACEFUL LN, EASLEY, SC 29640-7041
(661) 203-4022
Mailing address
246 PEACEFUL LN, EASLEY, SC 29640-7041
(661) 203-4022
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMF54601
CA
106H00000X
Marriage & Family Therapist
Primary
MFC47161
CA
Other
Enumeration date
09/20/2007
Last updated
12/05/2023
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