Broussard Marriage & Family Therapy INC
NPI #1285384636 in Temecula, California
Provider Information
- NPI Number
- 1285384636
- Entity Type
- Organization
- Organization Name
- Broussard Marriage & Family Therapy INC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Mar 28, 2022
- Last Updated
- Oct 24, 2022
Practice Location
- Address
- 41661 ENTERPRISE CIR N STE 111
- City
- Temecula
- State
- California
- ZIP Code
- 92590-5629
- Phone
- (619) 607-1234
Authorized Official
- Name
- SUSAN ANN BROUSSARD, LMFT
- Title
- CEO
- Phone
- (619) 607-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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