Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUANE BRODERICK
ActiveDUANE BRODERICK is a Mental Health Counselor healthcare provider located in BURLEY, Idaho. NPI 1285921643 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BURLEY, ID
Registration Details
- NPI Number
- 1285921643
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2011 (15.067275095962 yrs)
- Last Updated
- Jul 6, 2011
- License
-
LMSW3064 (ID)
Practice Information
- Address
-
2311 PARKE AVE., STE. 8BURLEY, ID, 83350Browse ID providers · Browse ZIP 83350
- Phone
- 2088783350
- Fax
- 2088783351
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BURLEY, ID
| Name | Credential | NPI |
|---|---|---|
| KHALI BERLIN | LCPC | 1548383136 |
| JANET B. LOVELAND | LCPC | 1104949700 |
| MR. NORMAN D. SINCLAIR | M.S. | 1245540053 |
| SUSANNAH MARIE WEST | LCPC | 1295023711 |
| JENNIFER LEE PRIMROSE | LPC | 1598017428 |
| RISA G. MORTENSEN | LPC | 1093155871 |
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.