Stanley Bragg Jr, - Counselor in Santa Rosa, CA

Stanley Bragg Jr, is a Counselor - Addiction (substance Use Disorder) based in Santa Rosa, California. Stanley Bragg Jr is licensed to practice in California (license number 7744-R) and his current practice location is 6119 Montecito Blvd Apt 12, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 888-2592.

NPI number for Stanley Bragg Jr is 1013368083 and his current mailing address is 6119 Montecito Blvd Apt 12, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013368083.

Contact Information

Stanley Bragg Jr,
6119 Montecito Blvd Apt 12,
Santa Rosa, CA 95409-2969
(707) 888-2592
Not Available

Healthcare Provider's Profile

Full NameStanley Bragg Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location6119 Montecito Blvd Apt 12, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013368083
  • Provider Enumeration Date: 06/30/2016
  • Last Update Date: 06/30/2016

Medical Identifiers

Medical identifiers for Stanley Bragg Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013368083NPI-NPPES
7744-ROtherCASUBSTANCE ABUSE COUNSELOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 7744-R (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanley Bragg Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stanley Bragg Jr,
6119 Montecito Blvd Apt 12,
Santa Rosa, CA 95409-2969

Ph: (707) 888-2592
Stanley Bragg Jr,
6119 Montecito Blvd Apt 12,
Santa Rosa, CA 95409-2969

Ph: (707) 888-2592

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