Brewer, Jacqueline Denise
Brewer, Jacqueline Denise is an individual health care provider with primary practice located at 1061 Harmon Ave Ste 1D03, Fort Stewart GA 31314-5674. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Brewer, Jacqueline Denise can be contacted via phone (912) 767-5265.Contact Information
Primary practice address
1061 Harmon Ave Ste 1D03
Fort Stewart GA 31314-5674
Phone: (912) 767-5265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1503 | Georgia |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW003033 | Georgia |
Profile Details
| NPI number | 1285626085 |
|---|---|
| LBN Legal business name | Brewer, Jacqueline Denise |
| Credentials | LMSW, CAC II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | May 3rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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