person
Stanley Bragg JR.
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1013368083

Stanley Bragg JR. is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Stanley Bragg JR. practices in Santa Rosa, CA. The NPI Number for Stanley Bragg JR. is 1013368083 and holds a License No. 7744-R (California).

The current practice location address for Stanley Bragg JR. is 6119 Montecito Blvd Apt 12, Santa Rosa, CA and can be reached out via phone at 707-888-2592.

Location: 6119 Montecito Blvd Apt 12, Santa Rosa, CA, 95409-2969
person
Provider Profile Details
NPI Number
1013368083
Provider Name
Stanley Bragg JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6119 Montecito Blvd Apt 12, Santa Rosa, CA, 95409-2969
Phone Number
707-888-2592
Fax Number
Provider Enumeration Date
06/30/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7744-R 01 CA SUBSTANCE ABUSE COUNSELOR
institution
Provider Business Practice Location Address Details
Address
6119 Montecito Blvd Apt 12
City
State
Zip
95409-2969
Phone Number
707-888-2592
Fax Number
person
Provider Business Mailing Address Details
Address
6119 Montecito Blvd Apt 12
City
State
Zip
95409-2969
Phone Number
707-888-2592
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7744-R (California)
Definition
Definition to come...
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