Individual provider · Type 1 NPI

Ralph Anthony Bravo

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1124232012 Active

Practice location

1777 Atlanta Ave, Suite G-1
Riverside, CA 92507-7417

Mailing address

5380 Fourth St
Riverside, CA 92509

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124232012

Ralph Anthony Bravo's National Provider Identifier is 1124232012, issued on May 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.