Individual provider · Type 1 NPI

Eboni Grace Broussard, MA, NCC

Professional Counselor · Macon, GA

NPI number 1053812982 Active

About NPI 1053812982

Eboni Grace Broussard, MA, NCC's National Provider Identifier is 1053812982, issued on Feb 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Macon, GA. The record was last updated on Feb 26, 2018.