Marcia Bradley Branca, MFT

Individual provider Active NPI Marriage & Family Therapist · Kealakekua, HI

NPI 1124580972 · NPPES record last updated Jul 13, 2024

Key facts

NPI
1124580972
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
645 (HI)
Practice address
81-972 S Kahapili Loop
Kealakekua, HI 96750-8114
Phone
(415) 233-1747
Fax
(844) 766-7659
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFT18213CAMDMarriage & Family Therapist
16718HIMDMassage Therapist
645HIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT18213 CA
Massage Therapist 225700000X 16718 HI
Marriage & Family Therapist 106H00000X 645 HI Yes

Addresses

Primary practice location

81-972 S Kahapili Loop
Kealakekua, HI 96750-8114

Mailing address

81-972 S Kahapili Loop
Kealakekua, HI 96750-8114
Phone (415) 233-1747

Other names

  • Marcia Jeanne Bradley Former name

Other providers in Kealakekua, HI

All providers in Kealakekua, HI · Marriage & Family Therapist in Hawaii

Sources for this page

Verify at the official NPI Registry.