MR. JERE CLIFTON BREWER (NPI# 1861728602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861728602 |
| Entity Type | Individual |
| Full Name | MR. JERE CLIFTON BREWER |
| Credential | CADAC-II |
| Practice Address |
4301 W Markham St # 835 Little Rock AR 72205-7101 |
| Mailing Address |
9601 Redwood Blvd California City CA 93505-3675 |
| Practice Telephone | 5015268422 |
| Practice Fax Number | 5015268499 |
| Mailing Telephone | 8504997838 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1559 | AR | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
119945 | PA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RA858109 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4301 W MARKHAM ST # 835 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199503 | Benton Drew Tolleson | Social Worker | 4301 W Markham St # 835, Little Rock, AR 72205-7199 | 2019-11-25 |
| 1700126141 | Melissa Marie Nichols | Social Worker | 4301 W Markham St # 835, Little Rock, AR 72205-7101 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158469 | Jerry Rushing | Counselor | 6301 Father Tribou St, Little Rock, AR 72205-3003 | 2019-05-08 |
| 1689141103 | Virginia Mae Kennedy | Counselor | 12200 Bordeaux Rd, Little Rock, WA 98556 | 2018-11-02 |
| 1801223532 | Carolyn Denise Thomas | Counselor | 523 Louisiana St, , Suite 211, Little Rock, AR 72201-5712 | 2013-09-26 |
| 1922344340 | Yulonda Ross | Counselor | 6900 Scott Hamilton Dr, Little Rock, AR 72209-3144 | 2012-12-13 |
| 1558588590 | Tameka L Lancaster | Counselor | 900 S Shackleford Rd Ste 30, Little Rock, AR 72211-3817 | 2007-04-19 |
| 1396863700 | Eugene Robert Gerst Jr. | Counselor | 820 W 6th Street, Ste 200, Little Rock, AR 72201 | 2007-03-26 |
| 1518016450 | Arthur Wayne Chupik | Counselor | 1715 Pine Valley Rd, Little Rock, AR 72207-2605 | 2007-01-09 |
| 1659439248 | Family Counseling & Recovery Centers | Counselor | 7509 Cantrell Rd, Ste 213, Little Rock, AR 72207-2529 | 2006-12-05 |
| 1629167689 | Leslie P Smith | Counselor | 17 Woodhill Dr, Little Rock, AR 72211-3382 | 2006-10-11 |
| 1427038728 | Barbara Jo Franzen | Counselor | 10025 W. Markham St, Suite 210, Little Rock, AR 72205 | 2006-01-20 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MR. JERE CLIFTON BREWER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.