Most Relevant Information
Provider Data
| NPI Number: | 1003562174 |
| Provider Name: | CATHERINE MICHELLE BROADHEAD LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2022 |
| Last Updated: | 02/26/2022 |
Provider Practice Location
852 HEATHER WAY
CARLSBAD
CA
920114733
Practice Location Phone/Fax
| Phone: | 8582205713 |
| Fax: |
Provider Mailing Location
852 HEATHER WAY
CARLSBAD
CA
920114733
Provider Mailing Phone/Fax
| Phone: | 8582205713 |
| Fax: |