Provider Demographics
NPI:1770016248
Name:ZAMORA, BRIANNE BRENNAN (LPC)
Entity type:Individual
Prefix:MS
First Name:BRIANNE
Middle Name:BRENNAN
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BRIANNE
Other - Middle Name:BRENNAN
Other - Last Name:LINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:354 W AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3903
Mailing Address - Country:US
Mailing Address - Phone:480-227-4303
Mailing Address - Fax:
Practice Address - Street 1:4240 S ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-4593
Practice Address - Country:US
Practice Address - Phone:480-980-2774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC15482101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor