Individual provider · Type 1 NPI

Roderick Eli Branscome, LPCS, LCAS

Professional Counselor · Charlotte, NC

NPI number 1730375577 Active

Practice location

1801 E Fifth St Ste 212
Charlotte, NC 28204-3400

Call (704) 661-1429 Map

Mailing address

212 S Tryon St, Suite 1060
Charlotte, NC 28281-0001

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7077 (NC)
Professional Counselor 101YP2500X5079 (SC)
Addiction (Substance Use Disorder) Counselor 101YA0400X2592 (NC)

Professional Counselor: Definition to come...

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About NPI 1730375577

Roderick Eli Branscome, LPCS, LCAS's National Provider Identifier is 1730375577, issued on Sep 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Dec 2, 2014.