Healthcare Provider Details

I. General information

NPI: 1255775573
Provider Name (Legal Business Name): CATHERINE ANN BREWER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHERINE ANN STEWART LPC

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2091 PROFESSIONAL DR
FLINT MI
48532-3657
US

IV. Provider business mailing address

11365 COLONIAL WOODS DR
CLIO MI
48420-1503
US

V. Phone/Fax

Practice location:
  • Phone: 810-732-1652
  • Fax: 810-732-1735
Mailing address:
  • Phone: 810-368-4052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6401013208
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401013208
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: