Individual provider · Type 1 NPI

Debra Lynn Broderick, CDCA

Addiction (Substance Use Disorder) Counselor · Logan, OH

NPI number 1134613243 Active

Practice location

30663 Red Rock Ct # 1
Logan, OH 43138-9672

Call (740) 888-1377 Map

Fax (740) 879-2970

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X164844 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134613243

Debra Lynn Broderick, CDCA's National Provider Identifier is 1134613243, issued on Jun 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Logan, OH. The record was last updated on Jun 21, 2018.