Individual provider · Type 1 NPI
Malcolm L. Broadnax
Addiction (Substance Use Disorder) Counselor · Nottingham, MD
NPI number
1457193278
Active
Practice location
4412 Cole Farm Rd
Nottingham, MD 21236-2961
Mailing address
2710 Pelham Ave
Baltimore, MD 21213-1119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP14898 (MD) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCA3486 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457193278
Malcolm L. Broadnax's National Provider Identifier is 1457193278, issued on Jun 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nottingham, MD. The record was last updated on Jun 11, 2025.