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Individual

DANIEL M BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA PSYCHOLOGY

Contact information

Practice address
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-9601
(360) 297-9614
Mailing address
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-9601
(360) 297-9614

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH30002492
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1980929
WA
01
910875163-20
KPS ID#
WA
01
BR8751
REGENCE RIDER#
WA
Enumeration date
08/19/2006
Last updated
07/08/2007
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