Healthcare Provider Details
I. General information
NPI: 1487003026
Provider Name (Legal Business Name): BRITTANY ELLEN STEINER AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2016
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7844 MADISON AVE STE 152
FAIR OAKS CA
95628
US
IV. Provider business mailing address
7844 MADISON AVE STE 152
FAIR OAKS CA
95628-3540
US
V. Phone/Fax
- Phone: 707-656-6136
- Fax:
- Phone: 707-656-6136
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | F5572986 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: