Ivy Raine Broadrick
Ivy Raine Broadrick is a Student in an Organized Health Care Education/Training Program in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2021.
- Licensed in
- WA
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
107 S Division StSpokane, WA 99202-1510
Phone: (509) 838-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MC61221129 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Counselor | Taxonomy 101Y00000X · Licence CG61136424 (WA) |
Record details
| NPI number | 1336739820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 19, 2021 |
| Last updated in NPPES | October 13, 2021 |
| Certification date | October 13, 2021 |
| Mailing address | 107 S Division St, Spokane, WA 99202-1510 |
Other providers in Spokane
-
Josefine Bribiesca Rodriguez
101 W 8th Ave, Spokane, WA 99204-2307 · (509) 474-3131
-
Mrs. Sydney Renae Briggs
101 W 8th Ave, Spokane, WA 99204-2307 · (509) 474-3131
-
Timothy Brim, PA
212 E Central Ave Ste 365, Spokane, WA 99208-6291 · (509) 435-0973
-
Jared Christopher Brimhall, CRNA
101 W 8th Ave, Spokane, WA 99204-2307 · (509) 474-3181
-
MS. Brooke Brown
502 E Boone Ave, Spokane, WA 99258-1774 · (800) 986-9585
-
Gretchen Sean Brown
107 S Division St, Spokane, WA 99202-1510 · (509) 838-4651
-
Hannah Michelle Brown, BA
107 S Division St, Spokane, WA 99202-1510 · (509) 838-4651
-
Julia Darlene Brown, MSW
124 E Short Ave, Spokane, WA 99202-1555 · (509) 838-4651