Dudleston Bracamonte, Darcy

Dudleston Bracamonte, Darcy is an sole proprietor health care provider with primary practice located at 17505 N. 79Th Ave 302A, Glendale AZ 85308. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Dudleston Bracamonte, Darcy can be contacted via phone (623) 850-5404.

Contact Information

Primary practice address
17505 N. 79Th Ave 302A Glendale AZ 85308
Phone: (623) 850-5404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11520 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LAC-11168 Arizona

Profile Details

NPI number 1902264773
LBN Legal business name Dudleston Bracamonte, Darcy
Credentials LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2016
Last updated Feb 8th, 2016 - about 10 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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