Organization
CORPORATE TRAINING AND SEMINAR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BRAVO LPC (LICENSED PROFESSIONAL COUNSELOR)
(737) 881-9695
Entity
Organization
Contact information
Practice address
3305 NORTHLAND DR STE 509, AUSTIN, TX 78731-5039
(737) 881-9695
Mailing address
3305 NORTHLAND DR STE 509, AUSTIN, TX 78731-5039
(737) 881-9695
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
69167
TX
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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