Breen, Elise Erin

Breen, Elise Erin is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Breen, Elise Erin can be contacted via phone (707) 423-3000.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00120300 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05289300 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW79555 California

Profile Details

NPI number 1710049796
LBN Legal business name Breen, Elise Erin
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Dec 17th, 2021 - about 3 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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