Brandon, Nichole Amber Lee
Brandon, Nichole Amber Lee is an individual health care provider with primary practice located at 853 Central Ave , Shasta Lake CA 96019-9529. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brandon, Nichole Amber Lee can be contacted via phone (530) 410-4259.Contact Information
Primary practice address
853 Central Ave
Shasta Lake CA 96019-9529
Phone: (530) 410-4259
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 95066 | California |
Profile Details
| NPI number | 1962743971 |
|---|---|
| LBN Legal business name | Brandon, Nichole Amber Lee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2013 |
| Last updated | Dec 28th, 2022 - about 4 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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