Individual
MICHAEL ANTHONY BRANCHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2489 RICE ST, SUITE 90, ROSEVILLE, MN 55113-3738
(651) 528-7550
Mailing address
15182 FARNHAM AVE N, HUGO, MN 55038-6306
(763) 221-8834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC00950
MN
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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