Individual
MELINDA LYNN BRODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC, LADC
Contact information
Practice address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 333-2035
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
302988
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
302988
MN
101YP2500X
Professional Counselor
Primary
04013
MN
Other
Enumeration date
11/15/2011
Last updated
09/02/2025
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