Bracken, Alexis Marie

Bracken, Alexis Marie is an sole proprietor health care provider with primary practice located at 15095 Amargosa Rd Ste 208 , Victorville CA 92394-1879. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bracken, Alexis Marie can be contacted via phone (760) 245-4695.

Contact Information

Primary practice address
15095 Amargosa Rd Ste 208 Victorville CA 92394-1879
Phone: (760) 245-4695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW94603 California

Profile Details

NPI number 1184103343
LBN Legal business name Bracken, Alexis Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2018
Last updated Mar 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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