Jill Erin Broderick in Jacksonville - Counselor
Jill Erin Broderick - NPI 1710178199
Jill Erin Broderick is a Counselor in Jacksonville, Florida. Jill Erin Broderick practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jill Erin Broderick is 1710178199. The last update date is 2007-08-09.
Jill Erin Broderick's current location address is 5776 Saint Augustine Rd, Jacksonville, Florida. You can contact this provider via phone number 9044484700. The mailing address for Jill Erin Broderick is 5776 Saint Augustine Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Erin Broderick |
|---|---|
| Address | 5776 Saint Augustine Rd, Jacksonville, Florida |
| Phone Number | 9044484700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1710178199 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | 5776 Saint Augustine Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078030 |
| Phone Number | 9044484700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 supe |
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What is the unique 10-digit identification code issued to Jill Erin Broderick by the Centers for Medicare & Medicaid Services?
The Jill Erin Broderick has been assigned the NPI (National Provider Identifier) 1710178199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jill Erin Broderick is physically located?
The Jill Erin Broderick is situated at the following address: 5776 Saint Augustine Rd, Jacksonville, FL 322078030.
What is Jill Erin Broderick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jill Erin Broderick's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710178199 to Jill Erin Broderick?
The Jill Erin Broderick received its 1710178199 assignment from the Centers for Medicare & Medicaid Services on 2007-08-09.
As of what date were the details pertaining to Jill Erin Broderick last refreshed?
The information related to the Jill Erin Broderick, including its address, specialty, and other relevant details, was last updated on 2007-08-09.
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