Individual
MR. CLARENCE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6159
Mailing address
10472 APHONIA DR, EL PASO, TX 79924-1704
(915) 821-3136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6395
TX
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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