Provider Demographics
NPI:1689066425
Name:SANBORN, BRANHAM (LMFT)
Entity Type:Individual
Prefix:
First Name:BRANHAM
Middle Name:
Last Name:SANBORN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1178 SALINAS HWY
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5247
Mailing Address - Country:US
Mailing Address - Phone:831-667-2177
Mailing Address - Fax:
Practice Address - Street 1:444 PEARL ST
Practice Address - Street 2:SUITE A-24
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3061
Practice Address - Country:US
Practice Address - Phone:831-667-2177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83244106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist