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Individual

MR. MARK BRANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 583-1000
Mailing address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 583-1000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
LPC14566
AZ

Other

Enumeration date
06/24/2015
Last updated
06/24/2025
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