Individual
JAIME BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMHC, CCI
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC.0012120
CO
101YP2500X
Professional Counselor
Primary
LPC.0012120
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29830087
—
CO
Enumeration date
09/07/2011
Last updated
10/27/2023
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