Amanda Breana Vann
Mental Health Counselor Clinical Social Worker
572 N Arrowhead Ave Ste 200
San Bernardino
, California 92401-1212
Amanda Breana Vann
Mental Health Counselor Clinical Social Worker
572 N Arrowhead Ave Ste 200
San Bernardino
, California 92401-1212
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About
Features
Specialties
- Mental Health Counselor
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Amanda Breana Vann
- 572 N Arrowhead Ave Suite #200
- San Bernardino, CA
- Zip : 92401
- Phone :
Second Address
- Amanda Breana Vann
- 572 N Arrowhead Ave Ste 200
- San Bernardino, CA
- Zip : 92401-1212
- Phone : (303) 266-2700
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Is Amanda Breana Vann a sole practitioner?
Is Amanda Breana Vann accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | ||
| Y | 1041C0700X | Clinical Social Worker |
National Provider Identifier
| NPI | 1003257965 |
|---|---|
| Provider Name | Amanda Breana Vann |
| First Address | San Bernardino, CA 92401 |
| Second Address | San Bernardino, CA 92401-1212 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2013 |
| Last Update Date | 08/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0010000228 | KIASER PERMANENTE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.