Provider Demographics
NPI:1407257132
Name:ROBERTSON, BRIGITTE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:BRIGITTE
Middle Name:
Last Name:ROBERTSON
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 1:448 REDCLIFF DR STE 121
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0159
Mailing Address - Country:US
Mailing Address - Phone:530-917-7959
Mailing Address - Fax:
Practice Address - Street 1:448 REDCLIFF DR STE 121
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0159
Practice Address - Country:US
Practice Address - Phone:530-917-7959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 90879101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health