Individual provider · Type 1 NPI
Lakeitha Tradell Branch, LAC
Mental Health Counselor · Caldwell, NJ
NPI number
1255944252
Active
Practice location
275 Bloomfield Ave Ste 4
Caldwell, NJ 07006-5100
Fax (973) 860-0717
Mailing address
732 Avenue E Apt 411
Bayonne, NJ 07002-4392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00283900 (NJ) |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1255944252
Lakeitha Tradell Branch, LAC's National Provider Identifier is 1255944252, issued on Aug 28, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Caldwell, NJ. The record was last updated on Aug 28, 2020.