Brennan, Leonard Andrew

Brennan, Leonard Andrew is an sole proprietor health care provider with primary practice located at 2074 S 6Th St , Klamath Falls OR 97601. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Brennan, Leonard Andrew can be contacted via phone (541) 851-8110.

Contact Information

Primary practice address
2074 S 6Th St Klamath Falls OR 97601
Phone: (541) 851-8110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21265 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10804
Behavioral Health & Social Service Providers / Professional 101YP2500X C4915 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X 10804 North Carolina

Profile Details

NPI number 1518323369
LBN Legal business name Brennan, Leonard Andrew
Credentials LPC, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2016
Last updated Aug 27th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518323369 NPPES
Oregon MEDICAID 170061

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