Individual
LIONEL TYRONE BRANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
943 W ANDREWS AVE, HENDERSON, NC 27536-2516
(252) 433-0061
Mailing address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27960
NC
Other
Enumeration date
04/27/2022
Last updated
05/05/2022
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