Provider Demographics
NPI:1558603274
Name:FERREIRA, BRIANNA (LMFT)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:DUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9435
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95157-0435
Mailing Address - Country:US
Mailing Address - Phone:408-712-8207
Mailing Address - Fax:
Practice Address - Street 1:621 E CAMPBELL AVE STE 11D
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2136
Practice Address - Country:US
Practice Address - Phone:408-712-8207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49833106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist