Provider Demographics
NPI:1053090159
Name:BROWER, KAMMI JO
Entity type:Individual
Prefix:
First Name:KAMMI
Middle Name:JO
Last Name:BROWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAMMI
Other - Middle Name:JO
Other - Last Name:MICHAEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:141 S CENTER ST STE 304
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2543
Mailing Address - Country:US
Mailing Address - Phone:307-333-4028
Mailing Address - Fax:
Practice Address - Street 1:141 S CENTER ST STE 302
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2543
Practice Address - Country:US
Practice Address - Phone:307-333-4028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health