Individual
MRS. CATHERINE DEBORAH BROADNAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 694-8648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015866
MI
101YP2500X
Professional Counselor
6401015866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2646941
COUNSELOR
MI
Enumeration date
11/22/2017
Last updated
09/12/2025
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