Provider Demographics
NPI:1740967173
Name:BRANSON, ROBYN S (MA, NCC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:S
Last Name:BRANSON
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12921 STEPHENSON ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3857
Mailing Address - Country:US
Mailing Address - Phone:907-441-2289
Mailing Address - Fax:
Practice Address - Street 1:1600 OMALLEY RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-7301
Practice Address - Country:US
Practice Address - Phone:907-441-2289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor