MS. JACQUELINE BRODEUR LMHC LADCI NPI 1275713364

NPI Information

NPI: 1275713364
Provider Name: MS. JACQUELINE BRODEUR, LMHC, LADCI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
140 HIGH ST
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-2532
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MS. Jacqueline Brodeur, LMHC, LADCI is a mental health counselor in Springfield, MA. MS. Jacqueline Brodeur, LMHC, LADCI NPI is 1275713364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 HIGH ST
SPRINGFIELD, MA
ZIP 01199-006
Phone: (413) 794-2532
Fax: (413) 794-2793

The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1475	MASSACHUSETTS	No
2	101YM0800X	Counselor	Mental Health	485	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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