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

Stanley Bragg Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013368083

Stanley Bragg Jr. is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

6119 Montecito Blvd Apt 12
Santa Rosa, CA 95409-2969
Phone: (707) 888-2592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 7744-R (CA)

Record details

NPI number1013368083
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJune 30, 2016
Mailing address6119 Montecito Blvd Apt 12, Santa Rosa, CA 95409-2969

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