Individual
BRENDA JOYCE BROADNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(703) 777-0800
Mailing address
1607 VILLAGE MARKET BLVD SE APT 211, LEESBURG, VA 20175-4667
(361) 232-6340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010148
VA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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