Individual provider · Type 1 NPI
Jillian Broeckert, LCMHC
Mental Health Counselor · St. George, UT
NPI number
1740646785
Active
Practice location
1420 W 360 N
St. George, UT 84770-4653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8390625-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1740646785
Jillian Broeckert, LCMHC's National Provider Identifier is 1740646785, issued on Jan 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. George, UT. The record was last updated on Jan 6, 2016.