Healthcare Provider Details

I. General information

NPI: 1306373378
Provider Name (Legal Business Name): BRITTANY LEE STEVENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S PATTERSON AVE APT 101
SANTA BARBARA CA
93111-2021
US

IV. Provider business mailing address

104 S PATTERSON AVE APT 101
SANTA BARBARA CA
93111-2021
US

V. Phone/Fax

Practice location:
  • Phone: 480-639-9146
  • Fax:
Mailing address:
  • Phone: 480-639-9146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: