| Doctor Name: | MS. MARICELA BRAVO |
| NPI Number: | 1144352196 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 17707 Studebaker Rd Cerritos, CA - 907032640 |
| Business Phone Number: | 5624020688 |
| Business Fax Number: | 5624023032 |
| Mailing Address: | 17707 Studebaker Rd, CERRITOS |
| State: | CA |
| Postal Code: | 907032640 |
| Phone Number: | 5624020688 |
| Fax Number: | 5624023032 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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 |