Kennebruew, Charro Bijan

Kennebruew, Charro Bijan is an individual health care provider with primary practice located at 2640 Industry Way , Lynwood CA 90262-4284. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Licensed Psychiatric Technician, Behavioral Health & Social Service Providers / Clinical. Nursing Service Providers / Licensed Psychiatric Technician is her primary health care specialty. Kennebruew, Charro Bijan can be contacted via phone (310) 627-4525.

Contact Information

Primary practice address
2640 Industry Way Lynwood CA 90262-4284
Phone: (310) 627-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X APCC7330 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 37712 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1063053684
LBN Legal business name Kennebruew, Charro Bijan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2019
Last updated Jan 5th, 2022 - 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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