Organization
NICOLE BRAVO, A MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEANN BRAVO LMFT (CEO)
(909) 242-8867
Entity
Organization
Contact information
Practice address
1630 ACACIA AVE, TORRANCE, CA 90501-3114
(909) 242-8867
Mailing address
35 N LAKE AVE STE 710, PASADENA, CA 91101-4185
(909) 242-8867
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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