Amber Broadway, LPE Valid NPI
Individual provider · Mental Health Counselor · Jacksonville, AR
- NPI
- 1184787749
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 04-01E (AR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-08
Practice location
2411 W Main St
Jacksonville, AR 72076-4211
(501) 982-5402