MR. Edward V. Brackenbury, MFT

NPI #1164728309 in Menlo Park, California

Provider Information

NPI Number: 1164728309
Entity Type: Individual
Name: MR. Edward V. Brackenbury, MFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Credential: MFT
Enumeration Date: Feb 6, 2011
Last Updated: Feb 6, 2011

Practice Location

Address: 1220 UNIVERSITY DR
City: Menlo Park
State: California
ZIP Code: 94025-4262
Phone: (659) 324-0619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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