Individual
HEATHER CRYSTAL BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9272 LAGUNA SPRINGS DR BLDG G, ELK GROVE, CA 95758-7947
(916) 691-9980
Mailing address
PO BOX 161495, SACRAMENTO, CA 95816-1495
(530) 305-5315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY31031
CA
Other
Enumeration date
12/23/2008
Last updated
04/12/2022
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