Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKY LEE BROUGHTON, PRSS
ActiveRICKY LEE BROUGHTON, PRSS is a Peer Specialist healthcare provider located in LOGAN, West Virginia. NPI 1639806227 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LOGAN, WV
Registration Details
- NPI Number
- 1639806227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2022 (3.9977528808806 yrs)
- Last Updated
- Aug 3, 2022
- License
-
21-818 (WV)
Practice Information
- Address
-
1112 ENTERPRISE DRIVELOGAN, WV, 25601Browse WV providers · Browse ZIP 25601
- Phone
- 3048966871
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in LOGAN, WV
| Name | Credential | NPI |
|---|---|---|
| KRISTY RHYAN CANTRELL | PRSS-SUD | 1932704178 |
| MR. JOHN ROBERT KANGAS | PR | 1609518232 |
| LEE ELLEN DONAHUE | PRSS | 1497498836 |
| FRANK DOUGLAS SPEARS | — | 1417683384 |
| BASIL BENNETT | — | 1821724543 |
| JERRY SCOTT JR. | — | 1932835659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.