Individual provider · Type 1 NPI

Weston Joseph Broussard Ii

Mental Health Counselor · Shelton, WA

NPI number 1033791702 Active

Practice location

307 W Cota St
Shelton, WA 98584-2265

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1033791702

Weston Joseph Broussard Ii's National Provider Identifier is 1033791702, issued on Apr 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shelton, WA. The record was last updated on Apr 22, 2021.