Ricky Lee Broughton, PRSS
Ricky Lee Broughton, PRSS is a Peer Specialist in Logan, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.
- Licensed in
- WV
- In the registry since
- 2022
Practice location Address checks out
1112 Enterprise DrLogan, WV 25601
Phone: (304) 896-6871
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 21-818 (WV) |
|---|
Record details
| NPI number | 1639806227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PRSS |
| Sole proprietor | No |
| NPI enumerated | August 3, 2022 |
| Last updated in NPPES | August 3, 2022 |
| Certification date | July 26, 2022 |
| Mailing address | 1112 Enterprise Drive, Logan, WV 25601 |
Other providers in Logan
-
Christopher L Baker
1112 Enterprise Dr, Logan, WV 25601 · (304) 896-6871
-
Christy Linn Baker, PRSS
509 Main St, Logan, WV 25601-3809 · (304) 896-5008
-
Basil Bennett
174 Lmah Center Rd, Logan, WV 25601-4058 · (304) 792-7130
-
Amber Frances Blankenship, PRSS
1 Washington Ave Ste 300, Logan, WV 25601-3966 · (304) 792-8689
-
Natasha Diamond Rio Cook
1 Washington Ave Ste 3, Logan, WV 25601-3965 · (304) 824-3100
-
Mrs. Trena Lynn Dingess
1 Washington Ave Ste 3, Logan, WV 25601-3965 · (304) 369-5116
-
Lee Ellen Donahue, PRSS
1 Washington Ave Ste 300, Logan, WV 25601-3966 · (304) 710-8541
-
Barbara J Ellis
174 Lmah Center Rd, Logan, WV 25601-4058 · (304) 792-7130