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Jerriod Nicholas Broadnax, LADAC,NCAC-II,CFC
Addiction (Substance Use Disorder) Counselor in Fayetteville, Arkansas
NPI 1427116581

Jerriod Nicholas Broadnax is an Addiction (Substance Use Disorder) Counselor based in Fayetteville, AR and is specialized in Addiction (Substance Use Disorder). Jerriod Nicholas Broadnax practices in Fayetteville, AR and has the professional credentials of LADAC,NCAC-II,CFC. The NPI Number for Jerriod Nicholas Broadnax is 1427116581 and holds a License No. 28533 (Arkansas).

The current practice location address for Jerriod Nicholas Broadnax is 509 E. Milsap Road, Fayetteville, AR and can be reached out via phone at 479-879-7038 and via fax at 479-340-0500.

Location: 509 E. Milsap Road, Fayetteville, AR, 72703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427116581
Provider Name
Jerriod Nicholas Broadnax
Credential
LADAC,NCAC-II,CFC
Provider Entity Type
Individual
Gender
Male
Address
509 E. Milsap Road, Fayetteville, AR, 72703
Phone Number
479-879-7038
Fax Number
479-340-0500
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
509 E. Milsap Road
City
Fayetteville
State
Arkansas
Zip
72703
Phone Number
479-879-7038
Fax Number
479-340-0500
person
Provider Business Mailing Address Details
Address
509 E. Milsap Road
City
Fayetteville
State
Arkansas
Zip
72703
Phone Number
479-879-7038
Fax Number
479-340-0500
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
333L (Arkansas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
016701 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
28533 (Indiana)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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