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Individual

MRS. BRANDY L BRANCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SUDP, LMHC

Contact information

Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
Mailing address
13316 NE 44TH ST, VANCOUVER, WA 98682-6909
(503) 290-4704

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006212
WA
101YM0800X
Mental Health Counselor
LH60191802
WA

Other

Enumeration date
06/11/2009
Last updated
09/29/2024
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