Individual provider · Type 1 NPI

Priscilla Na Broussard, LAC

Addiction (Substance Use Disorder) Counselor · Nags Head, NC

NPI number 1457679482 Active

Practice location

2808 S Croatan Hwy
Nags Head, NC 27959-9024

Fax (252) 441-1994

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1475 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1348 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1457679482

Priscilla Na Broussard, LAC's National Provider Identifier is 1457679482, issued on May 14, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nags Head, NC. The record was last updated on Dec 20, 2011.