Individual
JESSICA BREWSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Mailing address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09923094
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322004YLFK
MEDICARE PTAN
—
05
—
37936565
—
CO
Enumeration date
08/10/2010
Last updated
01/19/2016
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