Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kalpanatit Javon Broderick, BA

Individual provider Mental Health Counselor · NPI 1912275728

Kalpanatit Javon Broderick, BA is a Mental Health Counselor in Jasper, Oregon. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone: (541) 747-1235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1912275728
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedDecember 7, 2011
Last updated in NPPESDecember 7, 2011

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