person
Micah Larsen Brannon, SUDPT
Addiction (Substance Use Disorder) Counselor in Wenatchee, Washington
NPI 1396494332

Micah Larsen Brannon is an Addiction (Substance Use Disorder) Counselor based in Wenatchee, WA and is specialized in Addiction (Substance Use Disorder). Micah Larsen Brannon practices in Wenatchee, WA and has the professional credentials of SUDPT. The NPI Number for Micah Larsen Brannon is 1396494332 and holds a License No. CO61152752 (Washington).

The current practice location address for Micah Larsen Brannon is 819 N Miller St Ste 1B, Wenatchee, WA and can be reached out via phone at 509-664-4592 and via fax at 509-664-3594.

Location: 819 N Miller St Ste 1B, Wenatchee, WA, 98801-2800
person
Provider Profile Details
NPI Number
1396494332
Provider Name
Micah Larsen Brannon
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
819 N Miller St Ste 1B, Wenatchee, WA, 98801-2800
Phone Number
509-664-4592
Fax Number
509-664-3594
Provider Enumeration Date
03/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
819 N Miller St Ste 1B
City
State
Zip
98801-6604
Phone Number
509-664-4592
Fax Number
509-664-3594
person
Provider Business Mailing Address Details
Address
819 N Miller St Ste 1B
City
State
Zip
98801-6604
Phone Number
509-664-4592
Fax Number
509-664-3594
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61152752 (Washington)
Definition
Definition to come...
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