Brown, Patricia Jane

Brown, Patricia Jane is an sole proprietor health care provider with primary practice located at 513 Petaluma Blvd South , Petaluma CA 94952-5128. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Acupuncturist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Brown, Patricia Jane can be contacted via phone (707) 762-2240.

Contact Information

Primary practice address
513 Petaluma Blvd South Petaluma CA 94952-5128
Phone: (707) 762-2240
Fax: (707) 762-9290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC12131 California
Other Service Providers / Acupuncturist 171100000X AC3234 California

Profile Details

NPI number 1023155090
LBN Legal business name Brown, Patricia Jane
Credentials PHD MFT LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 18 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 1023155090 NPPES
California MEDICAID AC0032340

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