Individual provider · Type 1 NPI

Jennifer Rose Broyles, LPC-S, CM2, PTA

Mental Health Counselor · Poteau, OK

NPI number 1720351273 Active

Practice location

900 Broadway, Suite 1
Poteau, OK 74953

Call (918) 649-0772 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X1896 (AR)
Mental Health Counselor Primary 101YM0800XSUPERVISION (OK)

Mental Health Counselor: Definition to come...

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About NPI 1720351273

Jennifer Rose Broyles, LPC-S, CM2, PTA's National Provider Identifier is 1720351273, issued on Feb 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Poteau, OK. The record was last updated on Jul 11, 2016.