Individual
KELBY BRODDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4350 CORDATA PKWY STE 102, BELLINGHAM, WA 98226-8278
(360) 922-6977
Mailing address
4350 CORDATA PKWY STE 102, BELLINGHAM, WA 98226-8278
(360) 922-6977
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61239188
WA
Other
Enumeration date
09/16/2019
Last updated
07/27/2022
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