Individual
MS. MARIANNE PRING BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
1104A S MAIN ST, LEXINGTON, NC 27292-3134
(336) 242-2450
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9
NC
101YP2500X
Professional Counselor
Primary
705
NC
Other
Enumeration date
04/16/2008
Last updated
07/21/2022
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