Carly Broadhead, MA, NCC, LPC
Counselor in Meridian, ID. Individual provider (NPI-1).
NPI number1275975914
StatusActive
Last updated in NPPESMar 7, 2019
Details
- NPI
- 1275975914
- Entity type
- Individual (NPI-1)
- Name
- Carly Broadhead
- Credential
- MA, NCC, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2013
- Last updated
- Mar 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
3071 E Franklin Rd Ste 201Meridian, ID 83642
Phone 208-807-2877
Mailing address
11828 W Fairview Ave Apt 202Boise, ID 83713-7802
Phone 986-200-9268
Other practice locations
1825 Marika Rd
Fairbanks, AK 99709-5521
Fairbanks, AK 99709-5521
Phone 907-474-0890 · Fax 907-474-3621
11828 W Fairview Ave Apt 202
Boise, ID 83713-7802
Boise, ID 83713-7802
Phone 986-200-9268
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