Organization
BRAVE LITTLE HOOVES LICENSED PROFESSIONAL CLINICAL COUNSELOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN CARL (CEO)
(209) 730-6425
Entity
Organization
Contact information
Practice address
11925 BLAKE RD, WILTON, CA 95693-8537
(209) 730-6425
Mailing address
PO BOX 401, WILTON, CA 95693-0401
(209) 730-6425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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