Doctor Name: | MS. DEBRA MICHEL BRANCATO |
NPI Number: | 1033372842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LCS14694 |
Business Practice Address: | 13 Orchard Suite 103 Lake Forest, CA - 926308320 |
Business Phone Number: | 9498373358 |
Business Fax Number: | 9498370274 |
Mailing Address: | 13 Orchard, Suite 103 LAKE FOREST |
State: | CA |
Postal Code: | 926308320 |
Phone Number: | 9498373358 |
Fax Number: | 9498370274 |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 07/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS14694 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |