person
Bianca La'lonnie Carol Broussard
Addiction (Substance Use Disorder) Counselor in Pepper Pike, Ohio
NPI 1962097063

Bianca La'lonnie Carol Broussard is an Addiction (Substance Use Disorder) Counselor based in Pepper Pike, OH and is specialized in Addiction (Substance Use Disorder). Bianca La'lonnie Carol Broussard practices in Pepper Pike, OH. The NPI Number for Bianca La'lonnie Carol Broussard is 1962097063 and holds a License No. CDCA.175497 (Ohio).

The current practice location address for Bianca La'lonnie Carol Broussard is 30800 Chagrin Blvd, Pepper Pike, OH and can be reached out via phone at 216-591-0324 and via fax at 216-591-0324.

Location: 30800 Chagrin Blvd, Pepper Pike, OH, 44124-5925
person
Provider Profile Details
NPI Number
1962097063
Provider Name
Bianca La'lonnie Carol Broussard
Credential
Provider Entity Type
Individual
Gender
Female
Address
30800 Chagrin Blvd, Pepper Pike, OH, 44124-5925
Phone Number
216-591-0324
Fax Number
216-591-0324
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30800 Chagrin Blvd
City
State
Zip
44124-5925
Phone Number
216-591-0324
Fax Number
216-591-0324
person
Provider Business Mailing Address Details
Address
30800 Chagrin Blvd
City
State
Zip
44124-5925
Phone Number
216-591-0324
Fax Number
216-591-0324
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.175497 (Ohio)
Definition
Definition to come...
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