person
Marc S. Broadway, BA,SAA
Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico
NPI 1043342496

Marc S. Broadway is an Addiction (Substance Use Disorder) Counselor based in Farmington, NM and is specialized in Addiction (Substance Use Disorder). Marc S. Broadway practices in Farmington, NM and has the professional credentials of BA,SAA. The NPI Number for Marc S. Broadway is 1043342496 and holds a License No. 4455 (New Mexico).

The current practice location address for Marc S. Broadway is 2011 Troy King Rd Trlr 10, Farmington, NM and can be reached out via phone at 505-566-0336.

Location: 2011 Troy King Rd Trlr 10, Farmington, NM, 87401-3123
person
Provider Profile Details
NPI Number
1043342496
Provider Name
Marc S. Broadway
Credential
BA,SAA
Provider Entity Type
Individual
Gender
Male
Address
2011 Troy King Rd Trlr 10, Farmington, NM, 87401-3123
Phone Number
505-566-0336
Fax Number
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2011 Troy King Rd Trlr 10
City
State
Zip
87401-3123
Phone Number
505-566-0336
Fax Number
person
Provider Business Mailing Address Details
Address
2011 Troy King Rd Trlr 10
City
State
Zip
87401-3123
Phone Number
505-566-0336
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4455 (New Mexico)
Definition
Definition to come...
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