Individual provider · Type 1 NPI
Kelly L. Broda, L.G.P.C
Professional Counselor · Towson, MD
NPI number
1679949838
Active
Practice location
6501 N Charles St
Towson, MD 21204-6819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LGP6409 (MD) |
Professional Counselor: Definition to come...
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About NPI 1679949838
Kelly L. Broda, L.G.P.C's National Provider Identifier is 1679949838, issued on Aug 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Towson, MD. The record was last updated on Aug 11, 2015.