Individual
MRS. MICHELE M BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL ME
Contact information
Practice address
360 RTE 101, SUITE 10, BEDFORD, NH 03110
(603) 472-8657
(603) 672-4546
Mailing address
PO BOX 401, AMHERST, NH 03031
(603) 472-8657
(603) 672-4546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24
BOARD OF PSYCHOLOGY & MEN
NH
01
—
29370
NATIONAL BOARD OF CERTIFI
—
05
—
80009139
—
NH
Enumeration date
11/17/2006
Last updated
07/08/2007
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