Provider Demographics
NPI:1437842267
Name:BRAMEL, KELLYE JEANNE (APCC, AMFT)
Entity Type:Individual
Prefix:
First Name:KELLYE
Middle Name:JEANNE
Last Name:BRAMEL
Suffix:
Gender:F
Credentials:APCC, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 GILLESPIE ST # B
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4809
Mailing Address - Country:US
Mailing Address - Phone:805-637-0479
Mailing Address - Fax:
Practice Address - Street 1:4810 FOOTHILL RD
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-3073
Practice Address - Country:US
Practice Address - Phone:805-637-0479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling