| Doctor Name: | MS. KENDRA MARIE BRANCH |
| NPI Number: | 1023164548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH8421 |
| Business Practice Address: | 2212a Sarno Rd Melbourne, FL - 329353083 |
| Business Phone Number: | 3217523246 |
| Business Fax Number: | 3217523247 |
| Mailing Address: | 7820 Shadowood Dr, #308 WEST MELBOURNE |
| State: | FL |
| Postal Code: | 329041612 |
| Phone Number: | 3217240406 |
| Fax Number: | 3217523247 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | MH8421 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |