Roderick Eli Branscome, LPCS, LCAS
Counselor, Professional in Charlotte, NC. Individual provider (NPI-1).
NPI number1730375577
StatusActive
Last updated in NPPESDec 2, 2014
Details
- NPI
- 1730375577
- Entity type
- Individual (NPI-1)
- Name
- Roderick Eli Branscome
- Credential
- LPCS, LCAS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2007
- Last updated
- Dec 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7077 | NC | Yes |
| 101YP2500X | Counselor, Professional | 5079 | SC | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 2592 | NC |
Practice location
1801 E Fifth St Ste 212Charlotte, NC 28204-3400
Phone 704-661-1429
Mailing address
212 S Tryon StSuite 1060
Charlotte, NC 28281-0001
Phone 704-496-9757 · Fax 704-496-9757
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