Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Leann Bravo, BS, MFTTRAINEE

Individual provider Marriage & Family Therapist · NPI 1366902504

Nicole Leann Bravo, BS, MFTTRAINEE is a Marriage & Family Therapist in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

2716 Ocean Park Blvd Ste 3075
Santa Monica, CA 90405-5232
Phone: (310) 612-2998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 122703 (CA)

Record details

NPI number1366902504
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , MFTTRAINEE
Sole proprietorYes
NPI enumeratedMarch 22, 2019
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

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