Individual provider · Type 1 NPI
Farisai Dix-Broughton
Mental Health Counselor · Scottdale, GA
NPI number
1780464867
Active
Practice location
610 Kentucky St
Scottdale, GA 30079-1124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | APC008628 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1780464867
Farisai Dix-Broughton's National Provider Identifier is 1780464867, issued on Oct 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Scottdale, GA. The record was last updated on Oct 4, 2023.