MEDICARE: KAREN J BREWER MS, NCC, LPC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1992923403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN J BREWER MS, NCC, LPC

Provider Business Mailing Address
First Line	:	2920 PRINCETON CT
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-9324
Country	:	US
Telephone Number	:	605-381-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 JACKSON BLVD
Second Line	:	SUITE 12 A
City	:	RAPID CITY
State	:	SD
Zip	:	57702-1501
Country	:	US
Telephone Number	:	605-593-7207
Fax Number	:	605-721-7988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2007
Last Update Date	:	03/04/2009

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