Provider Demographics
NPI:1649547795
Name:WALKER, BRIANNE ELIZABETH (MS, LMFT 110876)
Entity type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:ELIZABETH
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS, LMFT 110876
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:ELIZABETH
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS,LMFT
Mailing Address - Street 1:505 E ROMIE LN STE F
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4031
Mailing Address - Country:US
Mailing Address - Phone:831-676-0210
Mailing Address - Fax:831-755-1713
Practice Address - Street 1:505 E ROMIE LN STE F
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4031
Practice Address - Country:US
Practice Address - Phone:831-676-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110876106H00000X
CA81205106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist