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1447983119 NPI number — NICOLE M BRITTSAN LMFT,APCC

NPI Number: 1447983119
Health Care Provider/Practitioner: NICOLE M BRITTSAN LMFT,APCC

Information about “1447983119” NPI (NICOLE M BRITTSAN LMFT,APCC) exists in 1447983119 in HTML format HTML  |  1447983119 in plain Text format TXT  |  1447983119 in PDF (Portable Document Format) PDF  |  1447983119 in an XML format XML  formats.

NPI Number : 1447983119 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447983119",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRITTSAN",
    "FirstName": "NICOLE",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT,APCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BIRON",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "400 CONTINENTAL BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EL SEGUNDO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90245-5076",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-648-0700",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 CONTINENTAL BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL SEGUNDO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90245-5076",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-648-0700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/08/2022",
    "LastUpdateDate": "10/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "155286",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "10037",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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