Brownback, Melissa R

Brownback, Melissa R is an sole proprietor health care provider with primary practice located at 1625 White Oak St , Costa Mesa CA 92626-3724. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Brownback, Melissa R can be contacted via phone (847) 461-3406.

Contact Information

Primary practice address
1625 White Oak St Costa Mesa CA 92626-3724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.007010 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 4726 California

Profile Details

NPI number 1396023396
LBN Legal business name Brownback, Melissa R
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2011
Last updated Mar 17th, 2018 - about 7 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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