Bourne, Ellen Ann
Bourne, Ellen Ann is an individual health care provider with primary practice located at 7000 S Center Dr B, Clearlake CA 95422-8131. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bourne, Ellen Ann can be contacted via phone (707) 994-7090.Contact Information
Primary practice address
7000 S Center Dr B
Clearlake CA 95422-8131
Phone: (707) 994-7090
Fax: (707) 994-7092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1669619714 |
|---|---|
| LBN Legal business name | Bourne, Ellen Ann |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2009 |
| Last updated | May 19th, 2011 - about 13 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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