Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRODERICK WEBSTER SR., LPC
ActiveMR. BRODERICK WEBSTER SR., LPC is a Mental Health Counselor healthcare provider located in BOLIVAR, Tennessee. NPI 1124897996 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BOLIVAR, TN
Registration Details
- NPI Number
- 1124897996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2023 (2.6066670184601 yrs)
- Last Updated
- Jul 9, 2024
Practice Information
- Address
-
793 TENNESSEE STBOLIVAR, TN, 380082441Browse TN providers · Browse ZIP 38008
- Phone
- 7312289068
- Fax
- 9014259773
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BOLIVAR, TN
| Name | Credential | NPI |
|---|---|---|
| MISS AMANDA MEGAN YOUNG NIBBER | LPCC | 1508142977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.