| Doctor Name: | MRS. JONI KAYE BREWER |
| NPI Number: | 1396943437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1460 Country Hill Rd Nipomo, CA - 934449626 |
| Business Phone Number: | 8059259811 |
| Business Fax Number: | 8059259706 |
| Mailing Address: | 1460 Country Hill Rd, NIPOMO |
| State: | CA |
| Postal Code: | 934449626 |
| Phone Number: | 8059259811 |
| Fax Number: | 8059259706 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |