Individual
MRS. CANDYCE ANNE BRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
2880 COCHRAN ST # 1025, SIMI VALLEY, CA 93065-0700
(818) 465-8208
Mailing address
2880 COCHRAN ST # 1025, SIMI VALLEY, CA 93065-0700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94865
MARRIAGE AND FAMILY THERAPIST REGISTERED INTERN
CA
Enumeration date
07/13/2016
Last updated
12/12/2022
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