Individual provider · Type 1 NPI
Jill Broussard, LPC
Professional Counselor · Austin, TX
NPI number
1497458764
Active
Practice location
231 Canterbury Dr
Austin, TX 78737-4550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 77392 (TX) |
Professional Counselor: Definition to come...
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About NPI 1497458764
Jill Broussard, LPC's National Provider Identifier is 1497458764, issued on Mar 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Mar 24, 2023.