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Reginald Mario Brewer SR.
Mental Health Counselor in Baton Rouge, Louisiana
NPI 1538628391

Reginald Mario Brewer SR. is a Mental Health Counselor based in Baton Rouge, LA and is specialized in Mental Health. Reginald Mario Brewer SR. practices in Baton Rouge, LA. The NPI Number for Reginald Mario Brewer SR. is 1538628391 and holds a License No. (Louisiana).

The current practice location address for Reginald Mario Brewer SR. is 4336 North Blvd Ste 204, Baton Rouge, LA and can be reached out via phone at 225-960-7419 and via fax at 225-960-7421.

Location: 4336 North Blvd Ste 204, Baton Rouge, LA, 70806-3920
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Provider Profile Details
NPI Number
1538628391
Provider Name
Reginald Mario Brewer SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4336 North Blvd Ste 204, Baton Rouge, LA, 70806-3920
Phone Number
225-960-7419
Fax Number
225-960-7421
Provider Enumeration Date
03/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
812402602 05 LA
institution
Provider Business Practice Location Address Details
Address
4336 North Blvd Ste 204
City
State
Zip
70806-3920
Phone Number
225-960-7419
Fax Number
225-960-7421
person
Provider Business Mailing Address Details
Address
4336 North Blvd Ste 204
City
State
Zip
70806-3920
Phone Number
225-960-7419
Fax Number
225-960-7421
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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