Individual
STEPHANIE BROYHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
201 W 2ND AVE STE C, GASTONIA, NC 28052-4091
(704) 240-1656
Mailing address
6213 WARDS GAP RD # HOUSE1, CASAR, NC 28020-7739
(704) 240-1656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12229329-6008
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3514
NC
101YM0800X
Mental Health Counselor
10512
NC
101YM0800X
Mental Health Counselor
12229329-6004
UT
Other
Enumeration date
11/05/2013
Last updated
06/14/2024
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