Sasha Branch, LCADC
Counselor, Addiction (Substance Use Disorder) in East Orange, NJ. Individual provider (NPI-1).
NPI number1124694021
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1124694021
- Entity type
- Individual (NPI-1)
- Name
- Sasha Branch
- Credential
- LCADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2021
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00322800 | NJ | Yes |
Practice location
46 Park PlEast Orange, NJ 07017-1150
Phone 973-310-5146
Mailing address
46 Park PlEast Orange, NJ 07017-1150
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