| Doctor Name: | MS. BRANDI SUE DEFAZIO |
| NPI Number: | 1366827875 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHA, MA, LMFT |
| License Number: | LF60595316 |
| Business Practice Address: | 310 3rd Ave Ne Ste 118 Issaquah, WA - 980273348 |
| Business Phone Number: | 4258949676 |
| Business Fax Number: | |
| Mailing Address: | 12036 198th Ave Se, ISSAQUAH |
| State: | WA |
| Postal Code: | 980278522 |
| Phone Number: | 4252260609 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2015 |
| NPI Last Update Date: | 08/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 106H00000X |
| License Number: | LF60595316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Marriage & Family Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |