Ralph Anthony Bravo
Counselor, Addiction (Substance Use Disorder) in Riverside, CA. Individual provider (NPI-1).
NPI number1124232012
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124232012
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ralph Anthony Bravo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
1777 Atlanta AveSuite G-1
Riverside, CA 92507-7417
Phone 951-304-5776
Mailing address
5380 Fourth StRiverside, CA 92509
Phone 951-304-5776 · Fax 951-304-5777
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