Individual provider · Type 1 NPI

Bruce L. Broadrick Jr., PHARMD., LPC

Professional Counselor · Dalton, GA

NPI number 1841259710 Active

Practice location

1904 Shields Rd Ste B
Dalton, GA 30720-5064

Call (706) 250-0804 Map

Mailing address

975 Poplar Springs Rd NW
Dalton, GA 30720-7091

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XRPH022581 (GA)
Professional Counselor Primary 101YP2500XLPC011947 (GA)
Professional Counselor 101YP2500X4163 (TN)

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About NPI 1841259710

Bruce L. Broadrick Jr., PHARMD., LPC's National Provider Identifier is 1841259710, issued on Mar 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dalton, GA. The record was last updated on Jul 30, 2026.