Individual provider · Type 1 NPI

Angie Bravo

Mental Health Counselor · Milwaukie, OR

NPI number 1811526007 Active

Practice location

2808 SE Balfour St
Milwaukie, OR 97222-6426

Call (503) 659-2575 Map

Fax (503) 659-5182

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811526007

Angie Bravo's National Provider Identifier is 1811526007, issued on Apr 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 31, 2020.