Individual
JESSICA MAURINE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC CANDIDATE
Contact information
Practice address
5272 S LEWIS AVE, 250, TULSA, OK 74105-6544
(918) 524-3300
(918) 524-3302
Mailing address
16702 S HARVARD AVE, BIXBY, OK 74008-5147
(918) 260-9703
(918) 524-3302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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