Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC
NPI #1427116581 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1427116581
- Entity Type
- Individual
- Name
- Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADAC, NCAC-II, CFC
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Aug 10, 2021
Practice Location
- Address
- 509 E. MILSAP ROAD
- Address 2
- SUITE 9
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703
- Phone
- (479) 879-7038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Professional — Professional |
| Case Manager/Care Coordinator |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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