Individual
MS. JODY BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1108 MILL BANK DR, MATTHEWS, NC 28104-6847
(704) 574-0836
(704) 821-0403
Mailing address
1108 MILL BANK DR, MATTHEWS, NC 28104-6847
(704) 574-0836
(704) 821-0403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103244
—
NC
Enumeration date
09/27/2006
Last updated
07/08/2007
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