Individual provider · Type 1 NPI

Walter L. Broady

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1275805632 Active

Practice location

503 S Pershing Ave
Stockton, CA 95203-3236

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1275805632

Walter L. Broady's National Provider Identifier is 1275805632, issued on Feb 1, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Feb 1, 2012.