Individual
MR. OCIEL BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 296-6936
(973) 926-1277
Mailing address
201 LYONS AVE AT OSBORNE TERRACE, NEWARK, NJ 07112
(973) 926-6936
(973) 926-1277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00324600
NJ
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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