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NPI Code Detail

MEDICARE: SONJA EBONY BROWN

MEDICARE: SONJA EBONY BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1265568646
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJA EBONY BROWN
Provider Business Mailing Address
First Line : 1234 EMPIRE ST
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-5711
Country : US
Telephone Number : 707-416-1167
Fax Number :
Provider Business Practice Location Address
First Line : 480 CHADBOURNE RD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-9639
Country : US
Telephone Number : 707-416-1167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 06/12/2025

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Directions to “ SONJA EBONY BROWN ” Practice Location

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