Individual provider · Type 1 NPI
Wyanicka Broussard
Professional Counselor · Houston, TX
NPI number
1689226532
Active
Practice location
5144 E Sam Houston Pkwy N Ste 114
Houston, TX 77015-3225
Fax (186) 693-6453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1689226532
Wyanicka Broussard's National Provider Identifier is 1689226532, issued on Jul 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Houston, TX. The record was last updated on Mar 6, 2024.