Organization · Type 2 NPI

Nicole Broderson LLC

Mental Health Counselor · Santa Fe, NM

NPI number 1932473741 Active

Practice location

1421 Luisa St, Suite N
Santa Fe, NM 87505-4073

Fax (888) 256-1158

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMB2485490 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1932473741

Nicole Broderson LLC's National Provider Identifier is 1932473741, issued on Feb 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 31, 2013.