Individual provider · Type 1 NPI
Wilfred Carnell Broom
Counselor · Sacramento, CA
NPI number
1750896288
Active
Practice location
7171 Bowling Drive Suite 300
Sacramento, CA 95823
Fax (916) 392-2827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Counselor Primary | 101Y00000X | None 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 1750896288
Wilfred Carnell Broom's National Provider Identifier is 1750896288, issued on Dec 6, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sacramento, CA. The record was last updated on Jan 4, 2021.