Individual provider · Type 1 NPI
Jacqueline Broadway, LCMHC, LCAS
Mental Health Counselor · Wilmington, NC
NPI number
1861913097
Active
Practice location
5919 Oleander Dr Ste 121
Wilmington, NC 28403-4757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-23554 (NC) |
| Mental Health Counselor Primary | 101YM0800X | 13518 (NC) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in Wilmington
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- Ashly Carper, LPCAMental Health Counselor Wilmington, NC NPI 1023480779
- Leighanne Meredith KelloggMental Health Counselor Wilmington, NC NPI 1023608759
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- Mary McPhatter, LCMHCAMental Health Counselor Wilmington, NC NPI 1023740420
About NPI 1861913097
Jacqueline Broadway, LCMHC, LCAS's National Provider Identifier is 1861913097, issued on Jun 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Sep 20, 2021.