SHADISHA BENNETT BRODDE, LPC
Counselor - Mental Health
Active
Individual
NPI: 1477826022
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | No | 178005880 (IL) |
| Counselor - Mental Health | 101YM0800X | Yes | MH18303 (FL) |
Frequently Asked Questions
NPI 1477826022 is the National Provider Identifier for SHADISHA BENNETT BRODDE, LPC, a Counselor - Mental Health provider located in Saint Augustine, FL. This NPI was enumerated on February 13, 2012.
SHADISHA BENNETT BRODDE, LPC practices at 910 GOLDEN LAKE LOOP, Saint Augustine, FL 32084.
Quick Facts
- NPI
- 1477826022
- Type
- Individual
- Enumerated
- Feb 13, 2012
- Last Updated
- Jun 16, 2021
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