Provider Demographics
NPI:1649852807
Name:BREWER, MARGARET ANN (AMFT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:BREWER
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1717 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4705
Mailing Address - Country:US
Mailing Address - Phone:530-304-7692
Mailing Address - Fax:
Practice Address - Street 1:1175 SARATOGA AVE STE 14
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3427
Practice Address - Country:US
Practice Address - Phone:408-996-7950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT124186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health