person
Mr. David L. Broderick JR., BA
Mental Health Counselor in San Diego, California
NPI 1730372053

David L. Broderick JR. is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. David L. Broderick JR. practices in San Diego, CA and has the professional credentials of BA. The NPI Number for David L. Broderick JR. is 1730372053 and holds a License No. (California).

The current practice location address for David L. Broderick JR. is 3036 Fenelon St, San Diego, CA and can be reached out via phone at 603-540-1756.

Location: 3036 Fenelon St, San Diego, CA, 92106-2268
person
Provider Profile Details
NPI Number
1730372053
Provider Name
David L. Broderick JR.
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
3036 Fenelon St, San Diego, CA, 92106-2268
Phone Number
603-540-1756
Fax Number
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3036 Fenelon St
City
State
Zip
92106-2268
Phone Number
603-540-1756
Fax Number
person
Provider Business Mailing Address Details
Address
3036 Fenelon St
City
State
Zip
92106-2268
Phone Number
603-540-1756
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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