MRS. AMY D BROADHURST NPI 1902175250

NPI Information

MRS. Amy D Broadhurst is a counselor in Markleeville, CA. The provider is 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. MRS. Amy D Broadhurst NPI is 1902175250. 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:

75 DIAMOND VALLEY RD UNIT C
MARKLEEVILLE, CA
ZIP 96120-579
Phone: (530) 694-1816
Fax: (530) 694-2387

The enumeration date for this NPI number is 12/15/2011 and was last updated on 12/15/2011.

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:

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