Individual provider · Type 1 NPI
Christine Broussard, MA, CADC-I
Mental Health Counselor · Tigard, OR
NPI number
1437956745
Active
Practice location
PO Box 230356, 12210 SW Main St
Tigard, OR 97223-6222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 250111375 (OR) |
| Mental Health Counselor Primary | 101YM0800X | R10584 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1437956745
Christine Broussard, MA, CADC-I's National Provider Identifier is 1437956745, issued on Feb 26, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Feb 26, 2025.