| Doctor Name: | MR. JAMES DOUGLAS BREWSTER |
| NPI Number: | 1205995990 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | LPC001956 |
| Business Practice Address: | Asacs Bassett Army Community Hospital Fort Wainwright, AK - 997030469 |
| Business Phone Number: | 9073531381 |
| Business Fax Number: | |
| Mailing Address: | 16 Meadow Run Rd, MINNORA |
| State: | WV |
| Postal Code: | 252681212 |
| Phone Number: | 3046558959 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC001956 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |