Healthcare Provider Details

I. General information

NPI: 1033322359
Provider Name (Legal Business Name): SARAH ANNE BRENDEN MARRIAGE AND FAMILY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNE BRENDEN M.F.T.

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR
ORANGE CA
92868-3854
US

IV. Provider business mailing address

29 STARLIGHT
IRVINE CA
92603-3777
US

V. Phone/Fax

Practice location:
  • Phone: 714-771-1404
  • Fax: 714-771-8456
Mailing address:
  • Phone: 949-854-6490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number17234
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: