Provider Demographics
NPI:1043963598
Name:BRINKMAN, KAREN LESLIE (LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LESLIE
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 S BASCOM AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2205
Mailing Address - Country:US
Mailing Address - Phone:408-466-5774
Mailing Address - Fax:
Practice Address - Street 1:1999 S BASCOM AVE STE 700
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2205
Practice Address - Country:US
Practice Address - Phone:408-466-5774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130048103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist