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Brandon Douglas Branch
Mental Health Counselor in Lansing, Illinois
NPI 1962782441

Brandon Douglas Branch is a Mental Health Counselor based in Lansing, IL and is specialized in Mental Health. Brandon Douglas Branch practices in Lansing, IL. The NPI Number for Brandon Douglas Branch is 1962782441 and holds a License No. (Illinois).

The current practice location address for Brandon Douglas Branch is 17537 Greenbay Ave, Lansing, IL and can be reached out via phone at 773-615-5263.

Location: 17537 Greenbay Ave, Lansing, IL, 60438-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962782441
Provider Name
Brandon Douglas Branch
Credential
Provider Entity Type
Individual
Gender
Male
Address
17537 Greenbay Ave, Lansing, IL, 60438-1913
Phone Number
773-615-5263
Fax Number
Provider Enumeration Date
08/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17537 Greenbay Ave
City
Lansing
State
Illinois
Zip
60438-1913
Phone Number
773-615-5263
Fax Number
person
Provider Business Mailing Address Details
Address
17537 Greenbay Ave
City
Lansing
State
Illinois
Zip
60438-1913
Phone Number
773-615-5263
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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