CLARENCE BRANCH

EL PASO, TX
NPI1588766430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  6395)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
Mr. CLARENCE BRANCH
5001 N PIEDRAS ST
EL PASO, TX 79930-4210
Phone number: 915-564-6159
Mailing Address
Mr. CLARENCE BRANCH
10472 APHONIA DR
EL PASO, TX 79924-1704
Phone number: 915-821-3136