Individual
ANNA SPRAGUE BRODSKY
Active
Individual
ANNA SPRAGUE BRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC,LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23231
NC
101YP2500X
Professional Counselor
Primary
12156
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12156
LCMHC
NC
05
—
1558818120
—
NC
01
—
23231
LCAS
NC
Enumeration date
09/01/2016
Last updated
11/01/2022
Update your record
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