Kanita Bourne Licensed Clinical Social Worker Inc.

LBN: Kanita Bourne Licensed Clinical Social Worker Inc.
Kanita Bourne Licensed Clinical Social Worker Inc. is an health care organization with primary practice located at 10601 Civic Center Dr # 100Ad , Rancho Cucamonga CA 91730-3878. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kanita Bourne Licensed Clinical Social Worker Inc. can be contacted via phone (909) 520-7949, or through Bourne, Kanita via phone (909) 520-7949.

Contact Information

Primary practice address
10601 Civic Center Dr # 100Ad Rancho Cucamonga CA 91730-3878
Phone: (909) 520-7949
Fax: (909) 614-8012
Website:
Map and Directions
Authorized official contact:
Name: Bourne, Kanita
Phone: (909) 520-7949

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1861095671
LBN Legal business name Kanita Bourne Licensed Clinical Social Worker Inc.
DBA Doing business as
Authorized official Bourne, Kanita
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2020
Last updated Nov 16th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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