Weston Joseph Broussard II
NPI #1033791702 in Shelton, Washington
Provider Information
- NPI Number
- 1033791702
- Entity Type
- Individual
- Name
- Weston Joseph Broussard II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 22, 2021
- Last Updated
- Apr 22, 2021
Practice Location
- Address
- 307 W COTA ST
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-2265
- Phone
- (360) 205-8002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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