MRS. AMY D BROADHURST - NPI 1902175250 - Counselor in Markleeville, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Mrs. Amy D Broadhurst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMY D BROADHURST (NPI 1902175250) is an individual counselor in Markleeville, California and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1902175250

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. AMY D BROADHURST

Location Address75 DIAMOND VALLEY RD UNIT CMarkleeville, CA 96120-9579

Mailing Address75 Diamond Valley Rd Unit CMarkleeville, CA 96120-9579 · (530) 694-1816 · Fax (530) 694-2387

Phone(530) 694-1816

Fax(530) 694-2387

Sole ProprietorNo

Enumeration DateDecember 15, 2011

✔ NPI 1902175250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

75 DIAMOND VALLEY RD UNIT C, Markleeville, CA 96120

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