Individual
MR. BRADLEY R BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LMFT
Contact information
Practice address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2001
MN
Other
Enumeration date
01/13/2012
Last updated
05/01/2018
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