Weston Joseph Broussard Valid NPI
Individual provider · Mental Health Counselor · Shelton, WA
- NPI
- 1033791702
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-04-22
- Last updated
- 2021-04-22
Practice location
307 W Cota St
Shelton, WA 98584-2265
(360) 205-8002