Bianca La'lonnie Carol Broussard

NPI #1962097063 in Pepper Pike, Ohio

Provider Information

NPI Number
1962097063
Entity Type
Individual
Name
Bianca La'lonnie Carol Broussard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 2, 2021
Last Updated
Mar 2, 2021

Practice Location

Address
30800 CHAGRIN BLVD
State
Ohio
ZIP Code
44124-5925
Phone
(216) 591-0324

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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