Individual
MRS. WILLOW NICOLE BROADDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
87 BONNYVALE RD, BRATTLEBORO, VT 05301-2548
(802) 565-7124
Mailing address
87 BONNYVALE RD, BRATTLEBORO, VT 05301-2548
(802) 565-7124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134330
VT
Other
Enumeration date
07/05/2021
Last updated
05/27/2026
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