Shannon Brodala Valid NPI

Individual provider · Mental Health Counselor · Peoria, AZ

NPI

1154339109

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

1457349037 (AZ)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-04

Last updated

2007-07-08