Individual
MS. JOHANNA LYNNE BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW LADC
Contact information
Practice address
30 MIRONA ROAD EXTENSION, SUITE 3, PORTSMOUTH, NH 03801
(603) 664-1010
(603) 766-3141
Mailing address
30 MIRONA ROAD EXTENSION, SUITE 3, PORTSMOUTH, NH 03801
(603) 436-7959
(603) 766-3141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
513
NH
104100000X
Social Worker
Primary
1006
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115858
MMC PHO BHC P
—
01
—
117879
BHN
—
05
—
30423349
—
NH
Enumeration date
07/17/2006
Last updated
09/11/2025
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