Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE BROADWAY, LCMHC, LCAS
ActiveMRS. JACQUELINE BROADWAY, LCMHC, LCAS is a Mental Health Counselor healthcare provider located in WILMINGTON, North Carolina. NPI 1861913097 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WILMINGTON, NC
Registration Details
- NPI Number
- 1861913097
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2017 (9.1039148864793 yrs)
- Last Updated
- Sep 20, 2021
- Licenses
-
LCAS-23554 (NC)13518 (NC)
Practice Information
- Address
-
5919 OLEANDER DR STE 121WILMINGTON, NC, 284034757Browse NC providers · Browse ZIP 28403
- Phone
- 9102106160
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in WILMINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| JEFF TAYLOE | LPC | 1447252515 |
| MICHAEL A PALANZA | LPA | 1801898960 |
| MELANY TARR | LCSW | 1154325116 |
| MRS. KIM LANGE | LCMHC | 1407842495 |
| MS. MARISSA PEREZ AREY | MA, LPC | 1861488850 |
| SARAH ELIZABETH COLEMAN | PHD | 1609867704 |
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.