Individual provider · Type 1 NPI

Frederick Djuan Broussard

Counselor · Long Beach, CA

NPI number 1003112574 Active

Practice location

3707 Cherry Ave
Long Beach, CA 90807-4320

Call (562) 417-9322 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003112574

Frederick Djuan Broussard's National Provider Identifier is 1003112574, issued on Feb 1, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Long Beach, CA. The record was last updated on Feb 1, 2011.