Individual provider · Type 1 NPI

Cory Bragg, BA, AAC

Counselor · Longview, WA

NPI number 1700661808 Active

Practice location

910 16th Ave Ste 120
Longview, WA 98632-2374

Fax (360) 200-6736

Mailing address

PO Box 2394
Longview, WA 98632-8455

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61479683 (WA)

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 1700661808

Cory Bragg, BA, AAC's National Provider Identifier is 1700661808, issued on Aug 28, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Oct 18, 2023.