Individual provider · Type 1 NPI

Ivan Rexford Bratton

Counselor · Detroit, MI

NPI number 1629334891 Active

Practice location

1121 E Mcnichols Rd
Detroit, MI 48203-2857

Fax (313) 365-3098

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1629334891

Ivan Rexford Bratton's National Provider Identifier is 1629334891, issued on Apr 2, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Apr 2, 2012.