Individual
MS. DIANE MARIE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
212 W MAIN ST, RIVERHEAD, NY 11901-2841
(631) 369-7800
(631) 574-8216
Mailing address
230 W MAIN ST, RIVERHEAD, NY 11901-2841
(631) 369-7800
(631) 574-8216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20093
NY
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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