Healthcare Provider Details

I. General information

NPI: 1215310636
Provider Name (Legal Business Name): DONNA MARIE BRANCH MA, LMFT, CADC-II
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28126 ORANGEGROVE AVE
MENIFEE CA
92584-8889
US

IV. Provider business mailing address

PO BOX 419
MENIFEE CA
92586-0419
US

V. Phone/Fax

Practice location:
  • Phone: 760-557-5831
  • Fax:
Mailing address:
  • Phone: 760-527-2624
  • Fax: 760-560-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153676
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRA9480519
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: