Individual provider · Type 1 NPI

Bryan Vincent Broussard, RADT1

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1982167441 Active

Practice location

3600 Power Inn Rd
Sacramento, CA 95826-3826

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 1982167441

Bryan Vincent Broussard, RADT1's National Provider Identifier is 1982167441, issued on Apr 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Apr 11, 2019.