Individual provider · Type 1 NPI
Pheynell Branch, AAS, CSAC, CSIT
Addiction (Substance Use Disorder) Counselor · Racine, WI
NPI number
1457780496
Active
Practice location
1650 Wasington Ave
Racine, WI 53403
Mailing address
6737 W Washington St Ste 2210
West Allis, WI 53214-5650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15662-132 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15476-133 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457780496
Pheynell Branch, AAS, CSAC, CSIT's National Provider Identifier is 1457780496, issued on Nov 8, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Nov 8, 2013.