Provider Demographics
NPI:1316211634
Name:BRINGAS, MARTA (LPC)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:BRINGAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 W EMPIRE AVE
Mailing Address - Street 2:# 1049
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-3434
Mailing Address - Country:US
Mailing Address - Phone:323-452-2629
Mailing Address - Fax:
Practice Address - Street 1:2080 W EMPIRE AVE
Practice Address - Street 2:# 1049
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-3434
Practice Address - Country:US
Practice Address - Phone:323-452-2629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2526101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional