Edgar Fabian Bravo

NPI #1548916901 in Chehalis, Washington

Provider Information

NPI Number: 1548916901
Entity Type: Individual
Name: Edgar Fabian Bravo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 24, 2022
Last Updated: Feb 24, 2022

Practice Location

Address: 134 SHANNON LN
City: Chehalis
State: Washington
ZIP Code: 98532-9648
Phone: (360) 999-1408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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