Provider Demographics
NPI:1033322359
Name:BRENDEN, SARAH ANNE (MARRIAGE AND FAMILY)
Entity Type:Individual
Prefix:MS
First Name:SARAH ANNE
Middle Name:
Last Name:BRENDEN
Suffix:
Gender:F
Credentials:MARRIAGE AND FAMILY
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:BRENDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:29 STARLIGHT
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3777
Mailing Address - Country:US
Mailing Address - Phone:949-854-6490
Mailing Address - Fax:
Practice Address - Street 1:1310 W STEWART DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3854
Practice Address - Country:US
Practice Address - Phone:714-771-1404
Practice Address - Fax:714-771-8456
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17234106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist