Individual
JOSEPH KEITH BREWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
210 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(770) 278-9459
Mailing address
2116 YORKSHIRE CT, WOODSTOCK, GA 30189-5223
(678) 646-8547
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001522
GA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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