Individual
NATHANIEL BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
8765 W KELTON LN, PEORIA, AZ 85382-3584
(602) 613-0403
Mailing address
15508 W BELL RD STE 101-247, SURPRISE, AZ 85374-2432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-21013
AZ
101YP2500X
Professional Counselor
Primary
LPC-24726
AZ
Other
Enumeration date
11/03/2025
Last updated
05/04/2026
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