Individual provider · Type 1 NPI

Tammy Broussard, M.S., LPC

Professional Counselor · Sallisaw, OK

NPI number 1225233646 Active

Practice location

204 E Choctaw Ave
Sallisaw, OK 74955-4604

Call (918) 790-2292 Map

Fax (918) 790-2291

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3781 (OK)

Professional Counselor: Definition to come...

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About NPI 1225233646

Tammy Broussard, M.S., LPC's National Provider Identifier is 1225233646, issued on Jun 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sallisaw, OK. The record was last updated on Jul 16, 2012.