Kelley J. Broadaway LPC

NPI 1164509642 - Counselor - 101YP2500X

NPI Details
NPI 1164509642
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5225 N LAMAR BLVD
AUSTIN TX, 78751-1820, US
Phone (512) 483-5811
Fax (512) 483-5828
Business Location
1430 COLLIER ST
AUSTIN TX, 78704-2911, US
Phone (512) 445-7787
Fax (512) 440-4059
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 11975
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According to our database, Ms. Kelley J. Broadaway LPC NPI is 1164509642, taxonomy code is 101YP2500X and license number is 11975, license state is located at Texas. Kelley J. Broadaway LPC physically located at 5225 N Lamar Blvd, Austin TX, 78751-1820. NPI Number Kelley J. Broadaway LPC has the Individual type.

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1164509642 NPI number is provided on an as is basis without warranty of any kind. 1164509642 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley J. Broadaway LPC are for informational purposes only.