Individual
KENNETH GRANT BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3175 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-0963
(615) 581-4590
Mailing address
1375 HOLLY CREEK RD, GREENEVILLE, TN 37745-4542
(423) 773-3226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000001863
TN
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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