BONNIE LEE BRAGLIA LPC-S,LMFT,CCDVC

Community/Behavioral Health Agency · CORPUS CHRISTI, TX

Organization Active NPI 1306224605

Taxonomy & licensure

Specialty	Code	Primary	License	State
Community/Behavioral Health Agency	251S00000X	✓	2914	TX

At a glance

NPI: 1306224605
Entity type: Organization
Enumerated: 2015-05-07
Last updated (NPPES): 2015-05-07

Location

Practice address: 4659 EVERHART RD. SUITE 109, CORPUS CHRISTI, TX, 78411
Phone: 3617740293
Mailing address: 3434 ALAMEDA ST., CORPUS CHRISTI, TX, 78411

Organization

Authorized official: BONNIE BRAGLIA — PSYCHOTHERAPIST,SUPERVISOR LPC TX,
Subpart: No

Other identifiers

106HOOOOOX — MARRIAGE & FAMILY THERAPIST (TX)
103TF0200X — CLINICALLY CERTIFIED DOMESTIC VIOLENCE COUNSELOR, F17949 (TX)
F17949 — FORENSIC COUNSELOR CLINICALLY CERTIFIED DOMESTIC VIOLENCE COUNSELOR (TX)
101YP2500X — LICENSED PROFESSIONAL COUNSELOR-SUPERVISOR-STATE OF TEXAS
101YP2500X — LICENSED PROFESSIONAL COUNSELOR-SUPERVISOR-STATE OF TEXAS (TX)
106HOOOOOX — LICENSED MARRIAGE & FAMILY THERAPIST, LICENSED PROFESSIONAL COUNSELOR-SUPERVISOR (TX)

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.