Individual
BYRON BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 BURWILLOW DR, VIRGINIA BEACH, VA 23464-8945
(757) 636-6729
Mailing address
1812 BURWILLOW DR, VIRGINIA BEACH, VA 23464-8945
(757) 636-6729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006597
VA
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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