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Individual

CHRISTOPHER BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A, M.ED

Contact information

Practice address
8548 JADE ROAD, WILLIAMSBURG, MO 63388
(573) 642-5345
Mailing address
8548 JADE ROAD, KINGDOM CITY, MO 65262
(573) 642-5345

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500062302
MO
Enumeration date
04/13/2017
Last updated
04/13/2017
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