Nicole Broderson LLC
Nicole Broderson LLC is a Mental Health Counselor in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.
- Licensed in
- NM
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1421 Luisa St Ste NSanta Fe, NM 87505-4073
Phone: (505) 428-0072
Fax: (888) 256-1158
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MB2485490 (NM) |
|---|
Record details
| NPI number | 1932473741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Broderson — Nurse Practitioner · (505) 428-0072 |
| NPI enumerated | February 27, 2012 |
| Last updated in NPPES | July 31, 2013 |
| Mailing address | 1421 Luisa St, Suite N, Santa Fe, NM 87505-4073 |
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