Individual
DANA BRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/MHP
Contact information
Practice address
1700 E 4TH ST APT 2301, AUSTIN, TX 78702-0027
(603) 931-6467
Mailing address
1700 E 4TH ST APT 2301, AUSTIN, TX 78702-0027
(603) 931-6467
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG 60577530
WA
1041C0700X
Clinical Social Worker
Primary
68905
TX
Other
Enumeration date
09/22/2015
Last updated
10/01/2020
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