Individual provider · Type 1 NPI

Jamie Dejon Broaddrick

Mental Health Counselor · Pryor, OK

NPI number 1881509537 Active

Practice location

109 N Fairland St
Pryor, OK 74361-4205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1881509537

Jamie Dejon Broaddrick's National Provider Identifier is 1881509537, issued on Aug 17, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pryor, OK. The record was last updated on Aug 18, 2026.