Individual
MR. JERE CLIFTON BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADAC-II
Contact information
Practice address
4301 W MARKHAM ST # 835, LITTLE ROCK, AR 72205-7101
(501) 526-8422
(501) 526-8499
Mailing address
9601 REDWOOD BLVD, CALIFORNIA CITY, CA 93505-3675
(850) 499-7838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
119945
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1559
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
RA858109
CA
Other
Enumeration date
10/29/2009
Last updated
11/14/2019
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