person
Mrs. Jacqueline Broadway, LCMHC,LCAS
Mental Health Counselor in Wilmington, North Carolina
NPI 1861913097

Jacqueline Broadway is a Mental Health Counselor based in Wilmington, NC and is specialized in Mental Health. Jacqueline Broadway practices in Wilmington, NC and has the professional credentials of LCMHC,LCAS. The NPI Number for Jacqueline Broadway is 1861913097 and holds a License No. LCAS-23554 (North Carolina).

The current practice location address for Jacqueline Broadway is 5919 Oleander Dr Ste 121, Wilmington, NC and can be reached out via phone at 910-210-6160.

Location: 5919 Oleander Dr Ste 121, Wilmington, NC, 28403-4757
person
Provider Profile Details
NPI Number
1861913097
Provider Name
Jacqueline Broadway
Credential
LCMHC,LCAS
Provider Entity Type
Individual
Gender
Female
Address
5919 Oleander Dr Ste 121, Wilmington, NC, 28403-4757
Phone Number
910-210-6160
Fax Number
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5919 Oleander Dr Ste 121
City
State
Zip
28403-4757
Phone Number
910-210-6160
Fax Number
person
Provider Business Mailing Address Details
Address
5919 Oleander Dr Ste 121
City
State
Zip
28403-4757
Phone Number
910-210-6160
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13518 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCAS-23554 (North Carolina)
Definition
Definition to come...
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