Provider Demographics
NPI:1740736917
Name:OLIVER SILLAS-NAVARRO, BRITTANI NYCOLE (MA, AMFT)
Entity type:Individual
Prefix:MRS
First Name:BRITTANI
Middle Name:NYCOLE
Last Name:OLIVER SILLAS-NAVARRO
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:BRITTANI
Other - Middle Name:NYCOLE
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, AMFT
Mailing Address - Street 1:7986 DAGGET ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2321
Mailing Address - Country:US
Mailing Address - Phone:858-262-8525
Mailing Address - Fax:
Practice Address - Street 1:7986 DAGGET ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2321
Practice Address - Country:US
Practice Address - Phone:858-262-8525
Practice Address - Fax:858-300-0461
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA132279106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty