Individual
COLETTE BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
335 COUNTY HOME RD, REIDSVILLE, NC 27320-9694
(336) 342-8316
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
101YP2500X
Professional Counselor
Primary
8104
NC
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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