Individual provider · NPI-1

Nancy Branch, M.A., C.R.C.

Counselor, Professional · Edgewater, MD

NPI number1245455369
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1245455369
Entity type
Individual (NPI-1)
Name
Nancy Branch
Credential
M.A., C.R.C.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLCO905MDYes

Practice location

459 Walnut Dr
Edgewater, MD 21037-3204

Phone 410-798-6278

Mailing address

459 Walnut Dr
Edgewater, MD 21037-3204

Phone 410-798-6278

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