Individual
SONYA BROADUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPC
Contact information
Practice address
10654 US HIGHWAY 31 STE B, SPANISH FORT, AL 36527-8691
(251) 800-1166
(251) 930-1335
Mailing address
PO BOX 7533, SPANISH FORT, AL 36577-7533
(251) 800-1166
(251) 930-1335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3403
AL
101YP2500X
Professional Counselor
Primary
3403
AL
Other
Enumeration date
07/02/2015
Last updated
07/21/2022
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