Edward V. Brackenbury, MFT Valid NPI

Individual provider · Marriage & Family Therapist · Menlo Park, CA

NPI

1164728309

Type

Individual (Type 1)

Primary specialty

Marriage & Family Therapist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106H00000X

License number

MFC 7563 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-02-06

Last updated

2011-02-06