Individual provider · Type 1 NPI

Duane Broderick

Mental Health Counselor · Burley, ID

NPI number 1285921643 Active

Practice location

2311 Parke Ave., Ste. 8
Burley, ID 83350

Call (208) 878-3350 Map

Fax (208) 878-3351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW3064 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1285921643

Duane Broderick's National Provider Identifier is 1285921643, issued on Jul 6, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burley, ID. The record was last updated on Jul 6, 2011.