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Individual

BRIANNA GABRIELLE BRAVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 7TH AVE STE 150, SANTA CRUZ, CA 95062-4669
(831) 462-1060
Mailing address
200 7TH AVE STE 150, SANTA CRUZ, CA 95062-4669
(408) 364-4157

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
172V00000X
Community Health Worker
372600000X
Adult Companion

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17845092
KAISER PERMANENTE
CA
Enumeration date
08/19/2021
Last updated
04/29/2025
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