MRS. Susan Diane Branam, LADC, LCSW

NPI #1376775775 in Blanchard, Oklahoma

Provider Information

NPI Number: 1376775775
Entity Type: Individual
Name: MRS. Susan Diane Branam, LADC, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LADC, LCSW
Enumeration Date: Aug 18, 2009
Last Updated: Oct 24, 2012

Practice Location

Address: 2320 COUNTY ROAD 1254
City: Blanchard
State: Oklahoma
ZIP Code: 73010-3019
Phone: (918) 302-7080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary
Marriage & Family Therapist	106H00000X

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