Brandon H. Broadhead, BA

NPI #1093835753 in Pocatello, Idaho

Provider Information

NPI Number: 1093835753
Entity Type: Individual
Name: Brandon H. Broadhead, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2055 GARRETT WAY
Address 2: SUITE 1
City: Pocatello
State: Idaho
ZIP Code: 83201-5100
Phone: (208) 233-7832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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