Marc S. Broadway, B.A., SAA
NPI #1043342496 in Farmington, New Mexico
Provider Information
- NPI Number
- 1043342496
- Entity Type
- Individual
- Name
- Marc S. Broadway, B.A., SAA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- B.A., SAA
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2011 TROY KING RD TRLR 10
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-3123
- Phone
- (505) 566-0336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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