Individual provider · Type 1 NPI

Tambgra Juanette Broadaway, LPC

Counselor · Fort Campbell, KY

NPI number 1730482852 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-8355

Call (270) 798-4677 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X8319 (NC)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1730482852

Tambgra Juanette Broadaway, LPC's National Provider Identifier is 1730482852, issued on Dec 11, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Aug 31, 2026.