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NPI Code Detail

MEDICARE: ANDREA M BREWSTER LCPC

MEDICARE:   ANDREA M BREWSTER  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCC2258ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1098304OTHERMEANTHEM LEGACY NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144268483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA M BREWSTER LCPC
Provider Business Mailing Address
First Line : 329 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2673
Country : US
Telephone Number : 800-434-3000
Fax Number :
Provider Business Practice Location Address
First Line : 329 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2673
Country : US
Telephone Number : 800-434-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 09/12/2008

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Directions to “ ANDREA M BREWSTER LCPC” Practice Location

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