Individual provider · Type 1 NPI
Kaitlin Broderick
Professional Counselor · Elk Grove Village, IL
NPI number
1912407792
Active
Practice location
1047 Arkansas Dr
Elk Grove Village, IL 60007-2923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.011457 (IL) |
Professional Counselor: Definition to come...
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About NPI 1912407792
Kaitlin Broderick's National Provider Identifier is 1912407792, issued on Feb 18, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elk Grove Village, IL. The record was last updated on Feb 18, 2018.