Individual provider · Type 1 NPI

Joseph Kenneth Broussard, MATS

Addiction (Substance Use Disorder) Counselor · Charlestown, IN

NPI number 1326405887 Active

Practice location

7509 Charlestown Pike
Charlestown, IN 47111-9623

Fax (812) 256-4415

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1326405887

Joseph Kenneth Broussard, MATS's National Provider Identifier is 1326405887, issued on Jan 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlestown, IN. The record was last updated on Jan 29, 2016.