Individual
MRS. ALICIA K BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
190 ROSEBUD STREET, FORSYTH, MT 59327-1176
(406) 351-1816
(406) 346-1538
Mailing address
190 ROSEBUD STREET, P. O. BOX 1176, FORSYTH, MT 59327-1176
(406) 351-1816
(406) 346-1538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
877
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251583
—
MT
01
—
740153
BLUECROSS BLUESHIELD
MT
Enumeration date
08/07/2006
Last updated
07/08/2007
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