Healthcare Provider Details

I. General information

NPI: 1831617851
Provider Name (Legal Business Name): COLLEEN MARY BREEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3916 STATE ST STE 300
SANTA BARBARA CA
93105-3137
US

IV. Provider business mailing address

PO BOX 62106
SANTA BARBARA CA
93160-2106
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-7517
  • Fax: 805-567-1208
Mailing address:
  • Phone: 805-681-1760
  • Fax: 805-681-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT115929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: