Individual provider · Type 1 NPI

Carol Ann Broda, MED LPC

Professional Counselor · Pompton Lakes, NJ

NPI number 1164577177 Active

Practice location

105 Hamburg Turnpike
Pompton Lakes, NJ 07442

Call (973) 831-0613 Map

Fax (973) 831-0957

Mailing address

21 Evans Place, C/o New Bridge Services Inc
Pompton Plains, NJ 07444

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00337800 (NJ)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1164577177

Carol Ann Broda, MED LPC's National Provider Identifier is 1164577177, issued on Jan 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pompton Lakes, NJ. The record was last updated on Jul 8, 2007.