- Practice location
- Po Box 230356, 12210 SW Main St, Tigard, OR 97223-6222
- Phone
- 971-249-2440
- Fax
- —
- Last updated
- February 26, 2025
Christine Broussard is a Counselor, Mental Health based in Tigard, OR. Christine Broussard practices in Tigard, OR and has the professional credentials of MA, CADC-I. The NPI Number for Christine Broussard is 1437956745 and holds a License No. 250111375 (OR). The current practice location address for Christine Broussard is Po Box 230356, 12210 SW Main St, Tigard, OR 97223-6222 and can be reached out via phone at 971-249-2440.
Provider Profile Details
- NPI Number
- 1437956745
- Provider Name
- Christine Broussard
- Credential
- MA, CADC-I
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Po Box 230356, 12210 SW Main St, Tigard, OR 97223-6222
- Phone Number
- 971-249-2440
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 26, 2025
- Last Update Date
- February 26, 2025
- Certification Date
- February 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Po Box 230356
12210 SW Main St
Tigard, OR 97223-6222 - City
- Tigard
- State
- Oregon
- Zip
- 97223-6222
- Phone Number
- 971-249-2440
Provider Business Mailing Address Details
- Address
- Po Box 230356
12210 SW Main St
Tigard, OR 97223-6222 - City
- Tigard
- State
- OR
- Zip
- 97223-6222
- Phone Number
- 971-249-2440
License Information
- License Number (1)
- 250111375
- License State (1)
- OR
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- R10584
- License State (2)
- OR
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Tigard, OR
View all Counselor, Mental Health providers in Tigard →- Adam J CostaCounselor, Mental Health · NPI 1639765084
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adam R ArizaCounselor, Mental Health · NPI 1407404817
- Adrian BacherCounselor, Mental Health · NPI 1437026614
- Adry S Clark, PHDCounselor, Mental Health · NPI 1861374258
- Afton L DaebneyCounselor, Mental Health · NPI 1063237717
Frequently Asked Questions
What is the NPI number of Mrs. Christine Broussard, MA, CADC-I?
The NPI number of Mrs. Christine Broussard, MA, CADC-I is 1437956745. It was assigned on February 26, 2025 and is currently active in the NPPES registry.
What is the specialty of Mrs. Christine Broussard, MA, CADC-I?
Mrs. Christine Broussard, MA, CADC-I is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number 250111375.
Where does Mrs. Christine Broussard, MA, CADC-I practice?
The practice location is Po Box 230356, 12210 SW Main St, Tigard, OR 97223-6222. The office can be reached at 971-249-2440 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437956745 directly on the NPPES registry website.