Individual provider · Type 1 NPI
Lisa Broadnax, MED
Addiction (Substance Use Disorder) Counselor · Zachary, LA
NPI number
1508360777
Active
Practice location
6351 Main St
Zachary, LA 70791-4038
Fax (225) 658-1282
Mailing address
PO Box 770
Zachary, LA 70791-0770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508360777
Lisa Broadnax, MED's National Provider Identifier is 1508360777, issued on Mar 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Zachary, LA. The record was last updated on Mar 21, 2018.