Individual provider · Type 1 NPI

Kristine Bravo

Mental Health Counselor · La Verne, CA

NPI number 1780139766 Active

Practice location

1350 3rd St
La Verne, CA 91750-5201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1780139766

Kristine Bravo's National Provider Identifier is 1780139766, issued on Aug 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Verne, CA. The record was last updated on Aug 23, 2016.