Doctor Name: | MRS. MYRNA CRUZ BRADY |
NPI Number: | 1124313895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CERTIFICATIION #2099 |
License Number: | CERTIFIACTION # 2099 |
Business Practice Address: | 9521 Folsom Blvd., Suite R Sacramento, CA - 95827 |
Business Phone Number: | 9162486728 |
Business Fax Number: | 9166819014 |
Mailing Address: | 9521 Folsom Blvd.,, Suite R SACRAMENTO |
State: | CA |
Postal Code: | 95827 |
Phone Number: | 9162486728 |
Fax Number: | 9166819014 |
NPI Enumeration Date: | 06/10/2011 |
NPI Last Update Date: | 06/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CERTIFIACTION # 2099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |