Individual
MS. CORRI NICOLE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
604 S HERRINGTON ST, GLENNVILLE, GA 30427-2565
(214) 850-3831
Mailing address
604 S HERRINGTON ST, GLENNVILLE, GA 30427-2565
(214) 850-3831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
508768
GA
101YP2500X
Professional Counselor
66723
TX
101YP2500X
Professional Counselor
Primary
LPC008559
GA
Other
Enumeration date
09/29/2012
Last updated
12/27/2016
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