| Nicole Bravo, A Marriage & Family Therapy Professional Corporation | |
|
1630 Acacia Ave Torrance CA 90501-3114 | |
| (909) 242-8867 | |
| Not Available |
| Full Name | Nicole Bravo, A Marriage & Family Therapy Professional Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1630 Acacia Ave, Torrance, California |
| Authorized Official Name and Position | Nicole Leann Bravo (CEO) |
| Authorized Official Contact | 9092428867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bravo, A Marriage & Family Therapy Professional Corporation 35 N Lake Ave Ste 710 Pasadena CA 91101-4185 Ph: (909) 242-8867 | Nicole Bravo, A Marriage & Family Therapy Professional Corporation 1630 Acacia Ave Torrance CA 90501-3114 Ph: (909) 242-8867 |
| NPI Number | 1790526184 |
|---|---|
| Provider Enumeration Date | 06/01/2024 |
| Last Update Date | 06/01/2024 |
| Certification Date | 06/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790526184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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