Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marc S. Broadway, BA, SAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043342496

Marc S. Broadway, BA, SAA is an Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2011 Troy King Rd Trlr 10
Farmington, NM 87401-3123
Phone: (505) 566-0336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 4455 (NM)

Record details

NPI number1043342496
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , SAA
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007

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