Individual
MARCIA E BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1004 E SKYLINE AVE, OZARK, MO 65721-7809
(417) 880-8622
(417) 708-8968
Mailing address
317 SPARROWHAWK RD, FORDLAND, MO 65652-8382
(417) 880-8622
(417) 708-8968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000150524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494853617
—
MO
Enumeration date
06/24/2005
Last updated
07/21/2022
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