person
Ms. Eboni Grace Broussard, MA,NCC
Professional Counselor in Macon, Georgia
NPI 1053812982

Eboni Grace Broussard is a Professional Counselor based in Macon, GA and is specialized in Professional. Eboni Grace Broussard practices in Macon, GA and has the professional credentials of MA,NCC. The NPI Number for Eboni Grace Broussard is 1053812982 and holds a License No. (Georgia).

The current practice location address for Eboni Grace Broussard is 3098 Ashby Dr, Macon, GA and can be reached out via phone at 404-409-1039. You can also correspond with Eboni Grace Broussard through the mailing address at 3098 ASHBY DR, MACON, GA - 31204-1502 (mailing address contact number: 404-409-1039).

Location: 3098 Ashby Dr, Macon, GA, 31204-1502
person
Provider Profile Details
NPI Number
1053812982
Provider Name
Eboni Grace Broussard
Credential
MA,NCC
Provider Entity Type
Individual
Gender
Female
Address
3098 Ashby Dr, Macon, GA, 31204-1502
Phone Number
404-409-1039
Fax Number
Provider Enumeration Date
02/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3098 Ashby Dr
City
State
Zip
31204-1502
Phone Number
404-409-1039
Fax Number
person
Provider Business Mailing Address Details
Address
3098 Ashby Dr
City
State
Zip
31204-1502
Phone Number
404-409-1039
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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