Individual provider · Type 1 NPI
Titus V. Broom, CSAC-R
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1881168607
Active
Practice location
2211 W Morehead St
Charlotte, NC 28208-5143
Mailing address
4607 Cricklewood Ln
Charlotte, NC 28212-8525
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 1881168607
Titus V. Broom, CSAC-R's National Provider Identifier is 1881168607, issued on Jan 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Jan 15, 2019.