Individual
BRENDA S BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4544 SAN FERNANDO RD STE 201, GLENDALE, CA 91204-5015
(818) 240-8843
Mailing address
4544 SAN FERNANDO RD STE 201, GLENDALE, CA 91204-5015
(818) 240-8843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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