Individual provider · Type 1 NPI

Edward V. Brackenbury, MFT

Marriage & Family Therapist · Menlo Park, CA

NPI number 1164728309 Active

Practice location

1220 University Dr
Menlo Park, CA 94025-4262

Fax (650) 327-9521

Mailing address

807 E Greenwich Pl
Palo Alto, CA 94303-3417

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC 7563 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1164728309

Edward V. Brackenbury, MFT's National Provider Identifier is 1164728309, issued on Feb 6, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Menlo Park, CA. The record was last updated on Feb 6, 2011.