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Organization

HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BROWN LCSW (EXECUTIVE DIRECTOR)
(707) 296-9295
Entity
Organization

Contact information

Practice address
3429 RENNER DR, FORTUNA, CA 95540-3104
(707) 298-9295
Mailing address
3429 RENNER DR, FORTUNA, CA 95540-3104
(707) 296-9295

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
12/21/2018
Last updated
09/12/2025
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