Individual
ANNA BENGTSON BROADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
7427 OLD STAGE RD N, ANGIER, NC 27501-7401
(919) 561-9663
Mailing address
7427 OLD STAGE RD N, ANGIER, NC 27501-7401
(919) 561-9663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13011
NC
Other
Enumeration date
05/15/2018
Last updated
10/20/2020
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