| Bravemind Counseling, Licensed Clinical Social Worker Corporation | |
|
110 Pleasant Street Colfax CA 95713 | |
| (530) 401-2245 | |
| Not Available |
| Full Name | Bravemind Counseling, Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Pleasant Street, Colfax, California |
| Authorized Official Name and Position | Nicole Lescher (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5304012245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravemind Counseling, Licensed Clinical Social Worker Corporation Po Box 1598 Colfax CA 95713-1598 Ph: (530) 401-2245 | Bravemind Counseling, Licensed Clinical Social Worker Corporation 110 Pleasant Street Colfax CA 95713 Ph: (530) 401-2245 |
| NPI Number | 1851002679 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851002679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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