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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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