person
Tammy Broussard, MS,LPC
Professional Counselor in Sallisaw, Oklahoma
NPI 1225233646

Tammy Broussard is a Professional Counselor based in Sallisaw, OK and is specialized in Professional. Tammy Broussard practices in Sallisaw, OK and has the professional credentials of MS,LPC. The NPI Number for Tammy Broussard is 1225233646 and holds a License No. 3781 (Oklahoma).

The current practice location address for Tammy Broussard is 204 E Choctaw Ave, Sallisaw, OK and can be reached out via phone at 918-790-2292 and via fax at 918-790-2291. You can also correspond with Tammy Broussard through the mailing address at 204 E CHOCTAW AVE, SALLISAW, OK - 74955-4604 (mailing address contact number: 918-790-2292).

Location: 204 E Choctaw Ave, Sallisaw, OK, 74955-4604
person
Provider Profile Details
NPI Number
1225233646
Provider Name
Tammy Broussard
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
204 E Choctaw Ave, Sallisaw, OK, 74955-4604
Phone Number
918-790-2292
Fax Number
918-790-2291
Provider Enumeration Date
06/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200350940A 05 OK
12163359 01 CAQH #
institution
Provider Business Practice Location Address Details
Address
204 E Choctaw Ave
City
State
Zip
74955-4604
Phone Number
918-790-2292
Fax Number
918-790-2291
person
Provider Business Mailing Address Details
Address
204 E Choctaw Ave
City
State
Zip
74955-4604
Phone Number
918-790-2292
Fax Number
918-790-2291
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3781 (Oklahoma)
Definition
Definition to come...
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