Provider Demographics
NPI:1396227237
Name:MILLS, BRITTANIE DAWN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANIE
Middle Name:DAWN
Last Name:MILLS
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 1:202 DE NORMANDIE WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-3009
Mailing Address - Country:US
Mailing Address - Phone:925-335-6122
Mailing Address - Fax:
Practice Address - Street 1:202 DE NORMANDIE WAY
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3009
Practice Address - Country:US
Practice Address - Phone:925-335-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82203106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist