Ivy Raine Broadrick
Ivy Raine Broadrick is a Student in an Organized Health Care Education/Training Program in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2021.
- Licensed in
- WA
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
Spokane, WANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MC61221129 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Counselor | Taxonomy 101Y00000X · Licence CG61136424 (WA) |
Record details
| NPI number | 1336739820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 19, 2021 |
| Last updated in NPPES | October 13, 2021 |
| Certification date | October 13, 2021 |
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