Provider Demographics
NPI:1255671939
Name:BRANCH, ANTHONY K (LMHC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:K
Last Name:BRANCH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 25TH WALK NE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-3655
Mailing Address - Country:US
Mailing Address - Phone:425-281-5429
Mailing Address - Fax:
Practice Address - Street 1:22525 SE 64TH PL
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5383
Practice Address - Country:US
Practice Address - Phone:425-281-5429
Practice Address - Fax:425-642-8322
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor