Provider Demographics
NPI:1316322902
Name:BRAMEL, LINDA JULIANA (MFT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JULIANA
Last Name:BRAMEL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5055 CANYON CREST DR.
Mailing Address - Street 2:SUIE 214
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507
Mailing Address - Country:US
Mailing Address - Phone:951-232-3476
Mailing Address - Fax:951-783-9199
Practice Address - Street 1:5055 CANYON CREST DR STE 214
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-6015
Practice Address - Country:US
Practice Address - Phone:951-232-3476
Practice Address - Fax:951-783-9199
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89394106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist