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Individual

MR. PAUL RICHARD BRACHO

Active
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Individual

MR. PAUL RICHARD BRACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW MFT

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS15134
CA
106H00000X
Marriage & Family Therapist
MCF25349
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS15134
SOC WORKER STATE LICENSE
CA
01
—
MFC25349
LIC. MARIAGE & FAMILY THE
CA
01
—
ZZZ244865Z
BLUE SHIELD PROVIDER ID
CA
Enumeration date
01/31/2007
Last updated
05/30/2025
About Stedi
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  • EDI platform