Individual provider · Type 1 NPI

John Robert Broussard

Mental Health Counselor · Placerville, CA

NPI number 1013271196 Active

Practice location

2711 Edgewood Dr
Placerville, CA 95667-3409

Call (530) 306-1816 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Placerville

See all in Placerville →

About NPI 1013271196

John Robert Broussard's National Provider Identifier is 1013271196, issued on Jul 3, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Placerville, CA. The record was last updated on Jul 3, 2012.