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Individual

MRS. JENNY LYNN BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAMHC

Contact information

Practice address
9140 BOEHM DR, LENEXA, KS 66219-2194
(314) 749-2714
Mailing address
9140 BOEHM DR, LENEXA, KS 66219-2194
(314) 749-2714

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002761A
IN
101YP2500X
Professional Counselor
Primary
2016044556
MO
101YP2500X
Professional Counselor
2493
KS

Other

Enumeration date
05/24/2011
Last updated
01/20/2017
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