Individual provider · Type 1 NPI
Kaywana Lee Broomer
Mental Health Counselor · Wilmington, DE
NPI number
1053843722
Active
Practice location
1007 E Newport Pike
Wilmington, DE 19804-1921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PC009250 (PA) |
Mental Health Counselor: Definition to come...
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About NPI 1053843722
Kaywana Lee Broomer's National Provider Identifier is 1053843722, issued on Mar 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, DE. The record was last updated on Mar 31, 2017.