Individual provider · Type 1 NPI

Susan Broccoli

Addiction (Substance Use Disorder) Counselor · Thousand Oaks, CA

NPI number 1548060197 Active

Practice location

125 W Thousand Oaks Blvd Ste 500
Thousand Oaks, CA 91360-4462

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 1548060197

Susan Broccoli's National Provider Identifier is 1548060197, issued on Mar 13, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Thousand Oaks, CA. The record was last updated on Mar 13, 2025.