Individual
ALLISON BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3483 EVANS ST STE B, GREENVILLE, NC 27834-4529
(252) 917-1559
Mailing address
3483 EVANS ST STE B, GREENVILLE, NC 27834-4529
(252) 917-1559
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
727
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105057
—
NC
Enumeration date
05/02/2006
Last updated
03/22/2019
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