Jamie L Brewer, RADT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Truckee, CA
NPI 1235735895 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1235735895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- R1389520520 (CA)
- Practice address
- 10015 Palisades Dr Ste 1
Truckee, CA 96161-1941 - Phone
- (530) 587-8194
- NPI assigned
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1389520520 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite Wellness Centers | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1389520520 | CA | Yes |
Addresses
Primary practice location
10015 Palisades Dr Ste 1
Truckee, CA 96161-1941
Mailing address
10015 Palisades Dr Ste 1
Truckee, CA 96161-1941
Phone (530) 587-8194
Other providers in Truckee, CA
- Michael P Booker
- Howard A Boone
- Bradley J Thomas MD Inc
- Joshua Brahen
- Jordan Brandt
- Kyle Benjamin Briggs
- Shannon Brimer
- Natalie Lynn Brindos
- Debra A Brioza
- Kelsey Brolliar
All providers in Truckee, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.