Brown, Heather Rene

Brown, Heather Rene is an individual health care provider with primary practice located at 1481 Windsor Dr , San Bernardino CA 92404-5416. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brown, Heather Rene can be contacted via phone (909) 361-6470.

Contact Information

Primary practice address
1481 Windsor Dr San Bernardino CA 92404-5416
Phone: (909) 361-6470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 30317 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 76753 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW18018 California

Profile Details

NPI number 1104950310
LBN Legal business name Brown, Heather Rene
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Sep 30th, 2019 - about 5 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 1104950310 NPPES
California Other ICAN726 DMH STAFF CODE

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