person
Alisa Mashanda Branch, LPC
Mental Health Counselor in Ridgeway, Virginia
NPI 1073751053

Alisa Mashanda Branch is a Mental Health Counselor based in Ridgeway, VA and is specialized in Mental Health. Alisa Mashanda Branch practices in Ridgeway, VA and has the professional credentials of LPC. The NPI Number for Alisa Mashanda Branch is 1073751053 and holds a License No. 0701008513 (Virginia).

The current practice location address for Alisa Mashanda Branch is 4944 Greensboro Rd, Ridgeway, VA and can be reached out via phone at 276-956-2233 and via fax at 276-956-1629.

Location: 4944 Greensboro Rd, Ridgeway, VA, 24148-3390
person
Provider Profile Details
NPI Number
1073751053
Provider Name
Alisa Mashanda Branch
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4944 Greensboro Rd, Ridgeway, VA, 24148-3390
Phone Number
276-956-2233
Fax Number
276-956-1629
Provider Enumeration Date
01/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689182164 05 VA
institution
Provider Business Practice Location Address Details
Address
4944 Greensboro Rd
City
State
Zip
24148-3390
Phone Number
276-956-2233
Fax Number
276-956-1629
person
Provider Business Mailing Address Details
Address
4944 Greensboro Rd
City
State
Zip
24148-3390
Phone Number
276-956-2233
Fax Number
276-956-1629
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701008513 (Virginia)
Definition
Definition to come...
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