Provider Demographics
NPI:1124224332
Name:SODEN, BRIAN F (MFT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:F
Last Name:SODEN
Suffix:
Gender:
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 SPERRY AVE STE 16C
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7446
Mailing Address - Country:US
Mailing Address - Phone:310-567-0346
Mailing Address - Fax:
Practice Address - Street 1:2021 SPERRY AVE STE 16C
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7446
Practice Address - Country:US
Practice Address - Phone:310-567-0346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44069106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist