Kenneth Grant Brewer, LPC
Counselor, Mental Health in Greeneville, TN. Individual provider (NPI-1).
NPI number1477320331
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1477320331
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Grant Brewer
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 10, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0000001863 | TN | Yes |
Practice location
3175 E Andrew Johnson HwyGreeneville, TN 37745-0963
Phone 615-581-4590
Mailing address
1375 Holly Creek RdGreeneville, TN 37745-4542
Phone 423-773-3226
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