MR. Broderick Webster SR., LPC
NPI #1124897996 in Bolivar, Tennessee
Provider Information
- NPI Number
- 1124897996
- Entity Type
- Individual
- Name
- MR. Broderick Webster SR., LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Dec 21, 2023
- Last Updated
- Jul 9, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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