Carolina Bravo
Counselor, Mental Health in East Orange, NJ. Individual provider (NPI-1).
NPI number1124743992
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1124743992
- Entity type
- Individual (NPI-1)
- Name
- Carolina Bravo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2022
- Certification date
- Oct 5, 2022
- Last updated
- Oct 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
240 Central AveEast Orange, NJ 07018-3313
Phone 908-764-4590
Mailing address
240 Central AveEast Orange, NJ 07018-3313
Phone 908-764-4590
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