Individual provider · Type 1 NPI

Ivy Raine Broadrick

Mental Health Counselor · Spokane, WA

NPI number 1336739820 Active

Practice location

107 S Division St
Spokane, WA 99202-1510

Call (509) 838-4651 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XMC61221129 (WA)
Counselor 101Y00000XCG61136424 (WA)

Mental Health Counselor: Definition to come...

659 other providers at this address

Other mental health counselor providers in Spokane

See all in Spokane →

About NPI 1336739820

Ivy Raine Broadrick's National Provider Identifier is 1336739820, issued on Jan 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spokane, WA. The record was last updated on Oct 13, 2021.