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Individual

MS. CARRIE BRAVINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
12 FLATFORD RD, STAFFORD, VA 22554-3949
(800) 305-2089
Mailing address
24 WHITE CHAPEL LN, STAFFORD, VA 22554-8593
(321) 795-8596

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14768
NC
101YM0800X
Mental Health Counselor
LPC 00162
MN
101YP2500X
Professional Counselor
0184121
NM
101YP2500X
Professional Counselor
Primary
0701011497
VA
101YP2500X
Professional Counselor
4789
OK
101YP2500X
Professional Counselor
74487
TX
101YP2500X
Professional Counselor
MH 10728
FL

Other

Enumeration date
10/03/2006
Last updated
06/01/2022
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