Individual provider · Type 1 NPI

Benjamin M. Broderick, BGS

Counselor · Worcester, MA

NPI number 1619289113 Active

Practice location

172 Lincoln St
Worcester, MA 01605-3750

Call (508) 770-0511 Map

Fax (508) 770-0875

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.

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About NPI 1619289113

Benjamin M. Broderick, BGS's National Provider Identifier is 1619289113, issued on Jul 13, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Worcester, MA. The record was last updated on Jul 13, 2010.