person
Mrs. Grace E Branham, LMFT
Mental Health Counselor in Rice Lake, Wisconsin
NPI 1154484962

Grace E Branham is a Mental Health Counselor based in Rice Lake, WI and is specialized in Mental Health. Grace E Branham practices in Rice Lake, WI and has the professional credentials of LMFT. The NPI Number for Grace E Branham is 1154484962 and holds a License No. 183-124 (Wisconsin).

The current practice location address for Grace E Branham is 1035 N Main St, Rice Lake, WI and can be reached out via phone at 715-234-4313.

Location: 1035 N Main St, Rice Lake, WI, 54868-1260
person
Provider Profile Details
NPI Number
1154484962
Provider Name
Grace E Branham
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
1035 N Main St, Rice Lake, WI, 54868-1260
Phone Number
715-234-4313
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39793200 05 WI
institution
Provider Business Practice Location Address Details
Address
1035 N Main St
City
State
Zip
54868-1260
Phone Number
715-234-4313
Fax Number
person
Provider Business Mailing Address Details
Address
1035 N Main St
City
State
Zip
54868-1260
Phone Number
715-234-4313
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
183-124 (Wisconsin)
Definition
Definition to come...
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