Individual provider · Type 1 NPI

Samuel Lewis Brode, LPC

Mental Health Counselor · Paw Paw, MI

NPI number 1780351122 Active

Practice location

801 Hazen St Ste C
Paw Paw, MI 49079-2008

Fax (269) 657-6523

Mailing address

PO Box 249
Paw Paw, MI 49079-0249

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401019495 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1780351122

Samuel Lewis Brode, LPC's National Provider Identifier is 1780351122, issued on Aug 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Paw Paw, MI. The record was last updated on Aug 24, 2021.