Individual
CORRIE BREWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 JOHNS CREEK CT STE 260, SUWANEE, GA 30024-1226
(770) 753-0350
Mailing address
3905 JOHNS CREEK CT STE 260, SUWANEE, GA 30024-1226
(770) 753-0350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC009629
GA
101YM0800X
Mental Health Counselor
Primary
MFT001555
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC009629
LPC
GA
01
—
MFT001555
LMFT
GA
Enumeration date
08/18/2017
Last updated
08/18/2017
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