Individual provider · Type 1 NPI

Ilse Masielle Bravo

Mental Health Counselor · Glendale, CA

NPI number 1356787253 Active

Practice location

237 N Central Ave
Glendale, CA 91203-2531

Call (818) 547-9544 Map

Mailing address

12351 Osborne St, #26
Pacoima, CA 91331-2059

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMF80442 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1356787253

Ilse Masielle Bravo's National Provider Identifier is 1356787253, issued on May 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, CA. The record was last updated on Jun 5, 2014.