RUSTY BRODERICK
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1346430014
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | RI-B0508181010 (CA) |
Frequently Asked Questions
NPI 1346430014 is the National Provider Identifier for RUSTY BRODERICK, a Counselor - Addiction (Substance Use Disorder) provider located in Skyforest, CA. This NPI was enumerated on July 30, 2007.
RUSTY BRODERICK practices at 28545 HIGHWAY 18, Skyforest, CA 92385.
Quick Facts
- NPI
- 1346430014
- Type
- Individual
- Enumerated
- Jul 30, 2007
- Last Updated
- Jul 30, 2007
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