Individual
SASHA BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
46 PARK PL, EAST ORANGE, NJ 07017-1150
(973) 310-5146
Mailing address
46 PARK PL, EAST ORANGE, NJ 07017-1150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00322800
NJ
Other
Enumeration date
06/01/2021
Last updated
12/06/2021
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