NPI Lookup
NPPES Search
Providers by State
Blog
Home
1205407970
WILLOW NICOLE BROADDUS
GRANVILLE, VT
NPI
1205407970
Copy
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 068.0134330)
Enumeration Date
2021-07-05
Last Update Date
2024-04-12
Business Address
Mrs. WILLOW NICOLE BROADDUS LCMHC, LPC, MA
138 OLD STAGE RD
GRANVILLE, VT 05747-9675
Phone number: 802-565-7124
Copy
Mailing Address
Mrs. WILLOW NICOLE BROADDUS LCMHC, LPC, MA
PO BOX 165
HANCOCK, VT 05748-0165
Phone number: 802-565-7124
Copy