Individual provider · Type 1 NPI
Jennifer Broussard, LPC
Professional Counselor · Round Rock, TX
NPI number
1689164436
Active
Practice location
1009 N Georgetown St
Round Rock, TX 78664-3289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 75533 (TX) |
Professional Counselor: Definition to come...
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About NPI 1689164436
Jennifer Broussard, LPC's National Provider Identifier is 1689164436, issued on May 17, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Round Rock, TX. The record was last updated on May 17, 2018.