Berens, Angelique

Berens, Angelique is an sole proprietor health care provider with primary practice located at 1480 Lincoln Ave Ste 8 , San Rafael CA 94901-2085. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Berens, Angelique can be contacted via phone (415) 456-7724.

Contact Information

Primary practice address
1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085
Phone: (415) 456-7724
Fax: (415) 456-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1174647945
LBN Legal business name Berens, Angelique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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