Provider Demographics
NPI:1982754669
Name:BREWER, CHRISTINE M (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:BREWER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3708 MT DIABLO BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3642
Mailing Address - Country:US
Mailing Address - Phone:925-465-3888
Mailing Address - Fax:925-934-6101
Practice Address - Street 1:3708 MT DIABLO BLVD STE 320
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3642
Practice Address - Country:US
Practice Address - Phone:925-465-3888
Practice Address - Fax:925-934-6101
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33146106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist