Individual provider · Type 1 NPI
Willow Nicole Broaddus, LCMHC
Mental Health Counselor · Brattleboro, VT
NPI number
1205407970
Active
Practice location
87 Bonnyvale Rd
Brattleboro, VT 05301-2548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 068.0134330 (VT) |
Mental Health Counselor: Definition to come...
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About NPI 1205407970
Willow Nicole Broaddus, LCMHC's National Provider Identifier is 1205407970, issued on Jul 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brattleboro, VT. The record was last updated on May 27, 2026.