Provider Demographics
NPI:1386843928
Name:BRENNAN, LIZA GARCIA (MA, LMFT)
Entity Type:Individual
Prefix:MISS
First Name:LIZA
Middle Name:GARCIA
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 COUNTRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-1014
Mailing Address - Country:US
Mailing Address - Phone:707-410-8413
Mailing Address - Fax:
Practice Address - Street 1:2191 KIRKER PASS RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-1629
Practice Address - Country:US
Practice Address - Phone:925-671-0777
Practice Address - Fax:925-681-1614
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFTI #50209106H00000X
CA53392106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist