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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE BRODERSON LLC

Active Organization

NICOLE BRODERSON LLC is a Mental Health Counselor organization located in SANTA FE, New Mexico. NPI 1932473741 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SANTA FE, NM

Registration Details

NPI Number
1932473741
Provider Type
Organization
NPI Issued
Feb 27, 2012 (14.486295568994 yrs)
Last Updated
Jul 31, 2013
License
MB2485490 (NM)

Practice Information

Address
1421 LUISA ST
SUITE N
SANTA FE, NM, 875054073
Browse NM providers · Browse ZIP 87505
Phone
5054280072
Fax
8882561158
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Organizations in SANTA FE, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.