Provider Demographics
NPI:1174948517
Name:BREZNER, CASSY LEAH (LMFT)
Entity type:Individual
Prefix:
First Name:CASSY
Middle Name:LEAH
Last Name:BREZNER
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:PO BOX 61644
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93160-1644
Mailing Address - Country:US
Mailing Address - Phone:805-919-8707
Mailing Address - Fax:
Practice Address - Street 1:5276 HOLLISTER AVE STE 106
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-3054
Practice Address - Country:US
Practice Address - Phone:805-919-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF75011106H00000X
CA102950106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist