Search › Ohio › 1041C0700X
Rebecca Broaddus, LISW-S, LICDC
NPI 1588190532 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2775 State Route 39
Shelby, OH 44875 - Phone
- (419) 747-3322
- Organisation at this address
- Cornell Abraxas Group, Llc
Cornell Abraxas Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 201
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
104100000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio