Individual provider · Type 1 NPI

Willie Brevard, LPC

Professional Counselor · Norwalk, CT

NPI number 1174649107 Active

Practice location

3 Lewis St
Norwalk, CT 06851-4704

Call (203) 846-4626 Map

Fax (203) 849-1220

Mailing address

18 Linden St
Norwalk, CT 06851-1527

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X001027 (CT)

Professional Counselor: Definition to come...

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About NPI 1174649107

Willie Brevard, LPC's National Provider Identifier is 1174649107, issued on Mar 21, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Norwalk, CT. The record was last updated on Jul 8, 2007.