Broughton, Johanna Lynne

Broughton, Johanna Lynne is an individual health care provider with primary practice located at 30 Mirona Road Extension Suite 3, Portsmouth NH 03801. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Broughton, Johanna Lynne can be contacted via phone (603) 664-1010.

Contact Information

Primary practice address
30 Mirona Road Extension Suite 3 Portsmouth NH 03801
Phone: (603) 664-1010
Fax: (603) 766-3141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 513 New Hampshire
Behavioral Health & Social Service Providers / Social Worker 104100000X 1006 New Hampshire

Profile Details

NPI number 1982621462
LBN Legal business name Broughton, Johanna Lynne
Credentials LICSW LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982621462 NPPES
Other 115858 MMC PHO BHC P
MEDICAID 30423349 MMC PHO BHC P
Other 117879 MMC PHO BHC P

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