Individual provider · Type 1 NPI

Denice Broyles

Mental Health Counselor · La Jara, CO

NPI number 1609763028 Active

Practice location

14385 County Road P
La Jara, CO 81140-9584

Mailing address

13892 County Road 104 S
Alamosa, CO 81101-9186

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0023369 (CO)

Mental Health Counselor: Definition to come...

Another provider at this address

About NPI 1609763028

Denice Broyles's National Provider Identifier is 1609763028, issued on Jun 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Jara, CO. The record was last updated on Jun 19, 2025.