Individual provider · Type 1 NPI

Anna Rene Broussard

Professional Counselor · Tempe, AZ

NPI number 1427220144 Active

Practice location

6625 S Rural Rd, Suite 111
Tempe, AZ 85283-3717

Mailing address

PO Box 24242
Tempe, AZ 85283

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-12927 (AZ)
Professional Counselor Primary 101YP2500XLPC-12927 (AZ)

Professional Counselor: Definition to come...

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About NPI 1427220144

Anna Rene Broussard's National Provider Identifier is 1427220144, issued on Apr 2, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tempe, AZ. The record was last updated on Apr 2, 2008.