Individual provider · Type 1 NPI
Kelly R. Broderick, L.P.C.
Counselor · La Grange, IL
NPI number
1881817443
Active
Practice location
515 S Ashland Ave
La Grange, IL 60525-2812
Fax (708) 352-1880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Developmental Therapist | 222Q00000X | 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.
Other counselor providers in La Grange
About NPI 1881817443
Kelly R. Broderick, L.P.C.'s National Provider Identifier is 1881817443, issued on Apr 11, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in La Grange, IL. The record was last updated on Sep 11, 2025.