person
Debra Lynn Broderick, CDCA
Addiction (Substance Use Disorder) Counselor in Logan, Ohio
NPI 1134613243

Debra Lynn Broderick is an Addiction (Substance Use Disorder) Counselor based in Logan, OH and is specialized in Addiction (Substance Use Disorder). Debra Lynn Broderick practices in Logan, OH and has the professional credentials of CDCA. The NPI Number for Debra Lynn Broderick is 1134613243 and holds a License No. 164844 (Ohio).

The current practice location address for Debra Lynn Broderick is 30663 Red Rock Ct # 1, Logan, OH and can be reached out via phone at 740-888-1377 and via fax at 740-879-2970. You can also correspond with Debra Lynn Broderick through the mailing address at 30663 RED ROCK CT # 1, LOGAN, OH - 43138-9672 (mailing address contact number: 740-888-1377).

Location: 30663 Red Rock Ct # 1, Logan, OH, 43138-9672
person
Provider Profile Details
NPI Number
1134613243
Provider Name
Debra Lynn Broderick
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
30663 Red Rock Ct # 1, Logan, OH, 43138-9672
Phone Number
740-888-1377
Fax Number
740-879-2970
Provider Enumeration Date
06/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0096642 05 OH
institution
Provider Business Practice Location Address Details
Address
30663 Red Rock Ct # 1
City
State
Zip
43138-9672
Phone Number
740-888-1377
Fax Number
740-879-2970
person
Provider Business Mailing Address Details
Address
30663 Red Rock Ct # 1
City
State
Zip
43138-9672
Phone Number
740-888-1377
Fax Number
740-879-2970
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
164844 (Ohio)
Definition
Definition to come...
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