Organization
BRANCHES COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BUNN MSW, LCSW, LMSW (OWNER/THERAPIST)
(734) 377-4134
Entity
Organization
Contact information
Practice address
16801 NEWBURGH RD, SUITE 109, LIVONIA, MI 48154-1606
(734) 377-4134
Mailing address
16801 NEWBURGH RD, SUITE 109, LIVONIA, MI 48154-1606
(734) 377-4134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
204697
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-01551
MI
1041C0700X
Clinical Social Worker
078431
MI
1041C0700X
Clinical Social Worker
Primary
091773
MI
1041C0700X
Clinical Social Worker
34005756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078431
LICENSED MASTERS SOCIAL WORKER CLINICAL/MACRO
MI
01
—
091773
LICENSED MASTERS SOCIAL WORKER CLINICAL/MACRO
MI
01
—
34005756A
LICENSED CLINICAL SOCIAL WORKER
IN
Enumeration date
06/03/2010
Last updated
06/03/2010
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