Individual
JOEL BRANSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4555 SHATTALON DR, WINSTON SALEM, NC 27106-2052
(336) 413-6717
Mailing address
5325 FAIRBURN DR, WINSTON SALEM, NC 27106-6312
(336) 413-6717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19372
NC
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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