Individual provider · Type 1 NPI

Broderick Webster Sr., LPC

Mental Health Counselor · Bolivar, TN

NPI number 1124897996 Active

About NPI 1124897996

Broderick Webster Sr., LPC's National Provider Identifier is 1124897996, issued on Dec 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bolivar, TN. The record was last updated on Jul 9, 2024.