Henderson, Breana

Henderson, Breana is an individual health care provider with primary practice located at 25125 Madison Ave Ste 105 , Murrieta CA 92562-8970. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Henderson, Breana can be contacted via phone (909) 825-7084.

Contact Information

Primary practice address
25125 Madison Ave Ste 105 Murrieta CA 92562-8970
Phone: (909) 825-7084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1346811148
LBN Legal business name Henderson, Breana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2021
Last updated Sep 27th, 2023 - about 2 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 1346811148 NPPES
California Other 117728 CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
California Other 14807 CALIFORNIA BOARD OF BEHAVIORAL SCIENCES

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