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Joni C Branham Licensed Clinical Social Worker INC

Community/Behavioral Health in Fallbrook, CA. Organization (NPI-2).

NPI number1982187787
StatusActive
Last updated in NPPESSep 8, 2018

Details

NPI
1982187787
Entity type
Organization (NPI-2)
Legal business name
Joni C Branham Licensed Clinical Social Worker INC
Organization subpart
No
Enumeration date
Sep 8, 2018
Last updated
Sep 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

645 E Elder St Ste B
Fallbrook, CA 92028-3084

Phone 760-715-6984 · Fax 760-451-0369

Mailing address

645 E Elder St Ste B
Fallbrook, CA 92028-3084

Phone 760-715-6984 · Fax 760-451-0369

Authorized official

Joni Branham
Psychotherapist
7607156984

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