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Mrs. Willow Nicole Broaddus, LCMHC,LPC,MA
Mental Health Counselor in Rochester, Vermont
NPI 1205407970

Willow Nicole Broaddus is a Mental Health Counselor based in Rochester, VT and is specialized in Mental Health. Willow Nicole Broaddus practices in Rochester, VT and has the professional credentials of LCMHC,LPC,MA. The NPI Number for Willow Nicole Broaddus is 1205407970 and holds a License No. 068.0134330 (Vermont).

The current practice location address for Willow Nicole Broaddus is 606 Fiske Rd Unit 38, Rochester, VT and can be reached out via phone at 802-565-7124.

Location: 606 Fiske Rd Unit 38, Rochester, VT, 05767-9209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205407970
Provider Name
Willow Nicole Broaddus
Credential
LCMHC,LPC,MA
Provider Entity Type
Individual
Gender
Female
Address
606 Fiske Rd Unit 38, Rochester, VT, 05767-9209
Phone Number
802-565-7124
Fax Number
Provider Enumeration Date
07/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
606 Fiske Rd Unit 38
City
Rochester
State
Vermont
Zip
05767-9209
Phone Number
802-565-7124
Fax Number
person
Provider Business Mailing Address Details
Address
606 Fiske Rd Unit 38
City
Rochester
State
Vermont
Zip
05767-9209
Phone Number
802-565-7124
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
068.0134330 (Vermont)
Definition
Definition to come...
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