person
Mr. John Robert Broussard
Mental Health Counselor in Placerville, California
NPI 1013271196

John Robert Broussard is a Mental Health Counselor based in Placerville, CA and is specialized in Mental Health. John Robert Broussard practices in Placerville, CA. The NPI Number for John Robert Broussard is 1013271196 and holds a License No. (California).

The current practice location address for John Robert Broussard is 2711 Edgewood Dr, Placerville, CA and can be reached out via phone at 530-306-1816.

Location: 2711 Edgewood Dr, Placerville, CA, 95667-3409
person
Provider Profile Details
NPI Number
1013271196
Provider Name
John Robert Broussard
Credential
Provider Entity Type
Individual
Gender
Male
Address
2711 Edgewood Dr, Placerville, CA, 95667-3409
Phone Number
530-306-1816
Fax Number
Provider Enumeration Date
07/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2711 Edgewood Dr
City
State
Zip
95667-3409
Phone Number
530-306-1816
Fax Number
person
Provider Business Mailing Address Details
Address
2711 Edgewood Dr
City
State
Zip
95667-3409
Phone Number
530-306-1816
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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