Provider Demographics
NPI:1376711143
Name:BRINTON, STEVEN DRIGGS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DRIGGS
Last Name:BRINTON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 E. UNIVERSITY
Mailing Address - Street 2:P.O. BOX 31256
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85275
Mailing Address - Country:US
Mailing Address - Phone:602-284-8439
Mailing Address - Fax:480-835-1071
Practice Address - Street 1:2321 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-8384
Practice Address - Country:US
Practice Address - Phone:602-284-8439
Practice Address - Fax:480-835-1071
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSW1699101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health