Healthcare Provider Details

I. General information

NPI: 1609731793
Provider Name (Legal Business Name): LASSEN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 RIVERSIDE DR STE 101
SUSANVILLE CA
96130-4754
US

IV. Provider business mailing address

2950 RIVERSIDE DR STE 101
SUSANVILLE CA
96130-4754
US

V. Phone/Fax

Practice location:
  • Phone: 530-251-8212
  • Fax:
Mailing address:
  • Phone: 530-251-8212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BRANNING
Title or Position: CHIEF OF PROBATION
Credential:
Phone: 530-251-8212