Provider Demographics
NPI:1992923403
Name:BREWER, KAREN J (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:BREWER
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 PRINCETON CT
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-9324
Mailing Address - Country:US
Mailing Address - Phone:605-381-3600
Mailing Address - Fax:
Practice Address - Street 1:2218 JACKSON BLVD
Practice Address - Street 2:SUITE 12 A
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-1501
Practice Address - Country:US
Practice Address - Phone:605-593-7207
Practice Address - Fax:605-721-7988
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health