| Kalpanatit Javon Broderick, BA | |
|
37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | |
| (541) 747-1235 | |
| Not Available |
| Full Name | Kalpanatit Javon Broderick |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 37875 Jasper Lowell Rd, Jasper, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912275728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kalpanatit Javon Broderick, BA 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 Ph: (541) 747-1235 | Kalpanatit Javon Broderick, BA 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 Ph: (541) 747-1235 |
Mrs. Julie Engel, B.A., QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 37875 Jasper Lowell Rd, Jasper, OR 97438 Phone: 541-747-1235 Fax: 541-747-4722 | |
Sara Jane Bellamy, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 37875 Jasper Lowell Rd, Jasper, OR 97438 Phone: 541-747-1235 Fax: 541-747-4722 | |
Toriana Mahaffie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37875 Jasper Lowell Rd, Jasper, OR 97438 Phone: 541-747-1235 | |
Katrina S Welch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37875 Jasper Lowell Rd, Jasper, OR 97438 Phone: 541-747-1235 | |
Ms. Trevecca Winters, AAOT Counselor Medicare: Not Enrolled in Medicare Practice Location: 37875 Jasper Lowell Rd, Jasper, OR 97438 Phone: 541-747-1235 Fax: 541-747-4722 | |
Mrs. Joyce Ziegler, B.A., QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 37875 Jasper Lowell Rd, Jasper, OR 97438 Phone: 541-747-1235 Fax: 541-747-4722 | |
Katelynn Sallee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37875 Jasper Lowell Rd, Jasper, OR 97438 Phone: 541-747-1235 |