Individual provider · Type 1 NPI

Bianca La'lonnie Carol Broussard

Addiction (Substance Use Disorder) Counselor · Pepper Pike, OH

NPI number 1962097063 Active

Practice location

30800 Chagrin Blvd
Pepper Pike, OH 44124-5925

Call (216) 591-0324 Map

Fax (216) 591-0324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.175497 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962097063

Bianca La'lonnie Carol Broussard's National Provider Identifier is 1962097063, issued on Mar 2, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pepper Pike, OH. The record was last updated on Mar 2, 2021.