Mrs. Jacqueline Broadway, LCMHC, LCAS
Mrs. Jacqueline Broadway, LCMHC, LCAS is an Addiction (Substance Use Disorder) Counselor in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.
- Licensed in
- NC
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
5919 Oleander Dr Ste 121Wilmington, NC 28403-4757
Phone: (910) 210-6160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 13518 (NC) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence LCAS-23554 (NC) |
Record details
| NPI number | 1861913097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCMHC , LCAS |
| Sole proprietor | No |
| NPI enumerated | June 28, 2017 |
| Last updated in NPPES | September 20, 2021 |
| Certification date | September 20, 2021 |
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