Individual
BLAKE ANDREW BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18400
NC
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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