Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN BRODERICK
Active Sole ProprietorKAITLIN BRODERICK is a Professional Counselor healthcare provider located in ELK GROVE VILLAGE, Illinois. NPI 1912407792 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ELK GROVE VILLAGE, IL
Registration Details
- NPI Number
- 1912407792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2018 (8.4599298435888 yrs)
- Last Updated
- Feb 18, 2018
- License
-
180.011457 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1047 ARKANSAS DRELK GROVE VILLAGE, IL, 600072923Browse IL providers · Browse ZIP 60007
- Phone
- 8476361001
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in ELK GROVE VILLAGE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES F GARY | LCPC | 1063474211 |
| PAMELA BALDINELLI | LCPC | 1528171550 |
| CAROLE DANKERS | LCPC | 1124131008 |
| KRISTIN EBY | LCPC | 1356454144 |
| WAYNE JOZWIAK | LCPC | 1558474072 |
| JACQUELINE MARSHALL | LCPC | 1952414484 |
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.