JERRIOD BROADNAX, LADAC, NCAC-II, CFC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1427116581
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | 28533 (IN) |
| Counselor - Professional | 101YP2500X | No | 016701 (VA) |
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 333L (AR) |
Frequently Asked Questions
NPI 1427116581 is the National Provider Identifier for JERRIOD BROADNAX, LADAC, NCAC-II, CFC, a Counselor - Addiction (Substance Use Disorder) provider located in Fayetteville, AR. This NPI was enumerated on December 4, 2006.
JERRIOD BROADNAX, LADAC, NCAC-II, CFC practices at 509 E. MILSAP ROAD, SUITE 9, Fayetteville, AR 72703.
Quick Facts
- NPI
- 1427116581
- Type
- Individual
- Enumerated
- Dec 4, 2006
- Last Updated
- Aug 10, 2021
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