Brevard, Willie
Brevard, Willie is an individual health care provider with primary practice located at 3 Lewis St , Norwalk CT 06851-4704. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Brevard, Willie can be contacted via phone (203) 846-4626.Contact Information
Primary practice address
3 Lewis St
Norwalk CT 06851-4704
Phone: (203) 846-4626
Fax: (203) 849-1220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001027 | Connecticut |
Profile Details
| NPI number | 1174649107 |
|---|---|
| LBN Legal business name | Brevard, Willie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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