Individual
JAYLYNNE BRANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190919
OH
171M00000X
Case Manager/Care Coordinator
2024
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2024
OH
Other
Enumeration date
08/07/2024
Last updated
12/11/2024
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