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Organization

BRAVE SOUL THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL COR

Active
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Organization

BRAVE SOUL THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL COR

Active
Other names
Brave Soul Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA HERMLE LCSW (CEO)
(408) 337-6473
Entity
Organization

Contact information

Practice address
245 MCEVOY ST, SAN JOSE, CA 95126-4807
(408) 337-6473
(408) 352-6906
Mailing address
2108 N ST # 9001, SACRAMENTO, CA 95816-5712
(408) 337-6473

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/21/2024
Last updated
03/21/2024
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