NPI 1316546401 · live from the CMS NPI Registry
Joseph Keith Brewton, LMFT
Marriage & Family Therapist in Woodstock, GA. National Provider Identifier 1316546401, active.
NPI record
| NPI | 1316546401 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 210 Creekstone Rdg, Woodstock, GA 30188 |
| Practice phone | 770-278-9459 |
| Mailing address | 2116 Yorkshire Ct, Woodstock, GA 30189 |
| Enumerated | October 20, 2020 |
| Last updated | October 20, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT001522 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.