Individual
AMBER D BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
JFRF-CNTSVC
OH
175T00000X
Peer Specialist
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/31/2023
Last updated
01/28/2026
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