Provider Demographics
NPI:1093563116
Name:BRANCH, JUDY ELISE (MA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:ELISE
Last Name:BRANCH
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 W BRIARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-3636
Mailing Address - Country:US
Mailing Address - Phone:303-726-1317
Mailing Address - Fax:
Practice Address - Street 1:9362 TEDDY LN STE 202
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2871
Practice Address - Country:US
Practice Address - Phone:303-895-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.002218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health