Provider Demographics
NPI:1093115693
Name:BRADFORD, LITSA (LMFT)
Entity Type:Individual
Prefix:
First Name:LITSA
Middle Name:
Last Name:BRADFORD
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 1:629 STATE ST STE 213
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-7002
Mailing Address - Country:US
Mailing Address - Phone:760-218-5905
Mailing Address - Fax:760-290-7208
Practice Address - Street 1:629 STATE ST STE 213
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7002
Practice Address - Country:US
Practice Address - Phone:760-218-5905
Practice Address - Fax:760-290-7208
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25703106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist