Individual
CAMERON JARREL BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 513-9003
Mailing address
906 W DAKOTA AVE, FRESNO, CA 93705-2711
(559) 903-8724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
12100
CA
101YM0800X
Mental Health Counselor
12210
CA
101YM0800X
Mental Health Counselor
APCC12210
CA
101YP2500X
Professional Counselor
Primary
APCC12210
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2021
Last updated
02/18/2026
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