Provider Demographics
NPI:1568813467
Name:CARRANZA, BRITNEY MARIE
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:MARIE
Last Name:CARRANZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:MARIE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA/BLS
Mailing Address - Street 1:530 BRIAN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-3312
Mailing Address - Country:US
Mailing Address - Phone:805-235-2229
Mailing Address - Fax:
Practice Address - Street 1:530 BRIAN ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-3312
Practice Address - Country:US
Practice Address - Phone:805-235-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health