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JERRIOD BROADNAX, LADAC, NCAC-II, CFC
LADAC, NCAC-II, CFC
Addiction (Substance Use Disorder) Counselor
NPI: 1427116581IndividualAccepts Medicare
Specialties, Licenses & Credentials
Counselor
Counselor
Code: 101Y00000X
28533(IN)
Professional Counselor
Counselor — Professional
Code: 101YP2500X
016701(VA)
Case Manager/Care Coordinator
Case Manager/Care Coordinator
Code: 171M00000X
Addiction (Substance Use Disorder) CounselorPrimary
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
333L(AR)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 509 E. MILSAP ROAD, SUITE 9
FAYETTEVILLE, AR 72703 - Phone
- (479) 879-7038
Quick Facts
- NPI
- 1427116581
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 18
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