Provider Demographics
NPI:1962565200
Name:BRANAUGH, JULIE ANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANNE
Last Name:BRANAUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 181
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-0030
Mailing Address - Country:US
Mailing Address - Phone:541-480-0341
Mailing Address - Fax:888-881-9654
Practice Address - Street 1:7525 FALCON CREST DR STE 213
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-5005
Practice Address - Country:US
Practice Address - Phone:541-480-0341
Practice Address - Fax:888-881-9654
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2952101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional