Amber Broadway, LPE
NPI #1184787749 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1184787749
- Entity Type
- Individual
- Name
- Amber Broadway, LPE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPE
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2411 W MAIN ST
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-4211
- Phone
- (501) 982-5402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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