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

Individual provider Professional Counselor · NPI 1780795104

MS. Marieille Jaquette Broadnax, LPC is a Professional Counselor in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2051 W Grand Blvd
Detroit, MI 48208-1105
Phone: (313) 961-3700
Fax: (313) 961-3769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401008550 (MI)

Record details

NPI number1780795104
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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