Mombrun, Georges Henry

Mombrun, Georges Henry is an sole proprietor health care provider with primary practice located at 560 Morris St , Orange NJ 07050-1112. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mombrun, Georges Henry can be contacted via phone (973) 592-9836.

Contact Information

Primary practice address
560 Morris St Orange NJ 07050-1112
Phone: (973) 592-9836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05967900 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00326700 New Jersey

Profile Details

NPI number 1285368746
LBN Legal business name Mombrun, Georges Henry
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2022
Last updated Jul 12th, 2022 - about 3 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 1285368746 NPPES
Other 093201 SELF-ISSUED

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