person
Acacia Marie Bravo, QMHP-R
Mental Health Counselor in Portland, Oregon
NPI 1467931527

Acacia Marie Bravo is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Acacia Marie Bravo practices in Portland, OR and has the professional credentials of QMHP-R. The NPI Number for Acacia Marie Bravo is 1467931527 and holds a License No. 23-QMHP-R-2224 (Oregon).

The current practice location address for Acacia Marie Bravo is 12360 E Burnside St, Portland, OR and can be reached out via phone at 971-279-4800 and via fax at 971-279-2051.

Location: 12360 E Burnside St, Portland, OR, 97205-1715
person
Provider Profile Details
NPI Number
1467931527
Provider Name
Acacia Marie Bravo
Credential
QMHP-R
Provider Entity Type
Individual
Gender
Female
Address
12360 E Burnside St, Portland, OR, 97205-1715
Phone Number
971-279-4800
Fax Number
971-279-2051
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12360 E Burnside St
City
State
Zip
97233-1042
Phone Number
971-279-4800
Fax Number
971-279-2051
person
Provider Business Mailing Address Details
Address
12360 E Burnside St
City
State
Zip
97233-1042
Phone Number
971-279-4800
Fax Number
971-279-2051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
23-QMHP-R-2224 (Oregon)
Definition
Definition to come...
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