Individual provider · Type 1 NPI

Carly Broadhead, MA, NCC, LPC

Counselor · Meridian, ID

NPI number 1275975914 Active

Practice location

3071 E Franklin Rd Ste 201
Meridian, ID 83642

Mailing address

11828 W Fairview Ave Apt 202
Boise, ID 83713-7802

Other practice locations

  • 1825 Marika Rd, Fairbanks, AK 99709-5521 · (907) 474-0890
  • 11828 W Fairview Ave Apt 202, Boise, ID 83713-7802 · (986) 200-9268

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

12 other providers at this address

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About NPI 1275975914

Carly Broadhead, MA, NCC, LPC's National Provider Identifier is 1275975914, issued on Jul 23, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Meridian, ID. The record was last updated on Mar 7, 2019.