Provider Demographics
NPI:1952838377
Name:BREMNER-EINSIDLER, CAROL ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:BREMNER-EINSIDLER
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 1:11776 CAMINITO CORRIENTE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4548
Mailing Address - Country:US
Mailing Address - Phone:858-603-5565
Mailing Address - Fax:858-385-0525
Practice Address - Street 1:8772 CUYAMACA ST STE 104
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4207
Practice Address - Country:US
Practice Address - Phone:619-258-6397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
CA96645106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist