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
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285368746 | NPPES |
| Other | 093201 | SELF-ISSUED |
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