Individual
JAMES BREM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
635 MAPLE AVE, DU BOIS, PA 15801-2376
(814) 375-6379
(814) 372-2682
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 375-6379
(814) 372-2560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CW014837
PA
104100000X
Social Worker
Primary
CW014837
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102174585
—
PA
Enumeration date
07/13/2006
Last updated
07/15/2015
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