person
Duane Broderick
Mental Health Counselor in Burley, Idaho
NPI 1285921643

Duane Broderick is a Mental Health Counselor based in Burley, ID and is specialized in Mental Health. Duane Broderick practices in Burley, ID. The NPI Number for Duane Broderick is 1285921643 and holds a License No. LMSW3064 (Idaho).

The current practice location address for Duane Broderick is 2311 Parke Ave., Ste. 8, Burley, ID and can be reached out via phone at 208-878-3350 and via fax at 208-878-3351.

Location: 2311 Parke Ave., Ste. 8, Burley, ID, 83350
person
Provider Profile Details
NPI Number
1285921643
Provider Name
Duane Broderick
Credential
Provider Entity Type
Individual
Gender
Male
Address
2311 Parke Ave., Ste. 8, Burley, ID, 83350
Phone Number
208-878-3350
Fax Number
208-878-3351
Provider Enumeration Date
07/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2311 Parke Ave., Ste. 8
City
State
Zip
83350
Phone Number
208-878-3350
Fax Number
208-878-3351
person
Provider Business Mailing Address Details
Address
2311 Parke Ave., Ste. 8
City
State
Zip
83350
Phone Number
208-878-3350
Fax Number
208-878-3351
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMSW3064 (Idaho)
Definition
Definition to come...
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