Individual provider · Type 1 NPI

Ishmael Angelo Bracy

Mental Health Counselor · Los Angeles, CA

NPI number 1639815087 Active

Practice location

3600 Wilshire Blvd Ste 2200
Los Angeles, CA 90010-2632

Mailing address

447 N El Molino Ave
Pasadena, CA 91101-1403

Other practice locations

  • 8019 Compton Ave, Los Angeles, CA 90001-3409 · (323) 586-7333

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800X92443 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1639815087

Ishmael Angelo Bracy's National Provider Identifier is 1639815087, issued on May 9, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 21, 2023.