Branches of Change Counseling LLC

NPI #1770202517 in Salem, Oregon

Provider Information

NPI Number: 1770202517
Entity Type: Organization
Organization Name: Branches of Change Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 24, 2022
Last Updated: Aug 24, 2022

Practice Location

Address: 161 HIGH ST SE STE 202
City: Salem
State: Oregon
ZIP Code: 97301-3610
Phone: (509) 902-5930

Authorized Official

Name: LACEY MARIE FAUGHENDER, LCSW
Title: LCSW/ OWNER
Phone: (503) 902-5930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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