Individual provider · Type 1 NPI
Marc S. Broadway, B.A., SAA
Addiction (Substance Use Disorder) Counselor · Farmington, NM
NPI number
1043342496
Active
Practice location
2011 Troy King Rd Trlr 10
Farmington, NM 87401-3123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 4455 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043342496
Marc S. Broadway, B.A., SAA's National Provider Identifier is 1043342496, issued on Mar 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Farmington, NM. The record was last updated on Jul 8, 2007.