Provider Demographics
NPI:1811163637
Name:OBRIEN, NANCY ELENA (MFT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ELENA
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 ST LAURENT CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-7205
Mailing Address - Country:US
Mailing Address - Phone:925-277-7713
Mailing Address - Fax:
Practice Address - Street 1:2800 PLEASANT HILL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2003
Practice Address - Country:US
Practice Address - Phone:925-227-7713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist