Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 3972-R | CA |
N | 101YM0800X | Mental Health Counselor |
NPI | 1003212754 |
---|---|
Provider Name | Julia Bramer |
First Address | Benicia, CA 94510-1128 |
Second Address | Benicia, CA 94510-1128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2014 |
Last Update Date | 24/01/2017 |