Individual provider · Type 1 NPI
Madison Broussard-Eastland, LPC
Mental Health Counselor · Humble, TX
NPI number
1447083092
Active
Practice location
5726 Upper Lake Dr
Humble, TX 77346-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 85404 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1447083092
Madison Broussard-Eastland, LPC's National Provider Identifier is 1447083092, issued on Aug 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Humble, TX. The record was last updated on Aug 20, 2024.