RICKY LEE BROUGHTON, PRSS

NPI: 1639806227 · Individual · Active

Primary Specialty

Peer Specialist

Practice Location

1112 ENTERPRISE DRIVE
LOGAN, WV 25601 Map ↗
Phone: 304-896-6871

All Specialties & Licenses

  • Peer Specialist Primary (license: 21-818, WV)

NPI Registration

Enumerated: 2022-08-03

Last CMS Update: 2022-08-03