JOHN ROBERT BROUSSARD

PLACERVILLE, CA
NPI1013271196
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-07-03
Last Update Date2012-07-03
Business Address
Mr. JOHN ROBERT BROUSSARD
2711 EDGEWOOD DR
PLACERVILLE, CA 95667-3409
Phone number: 530-306-1816
Mailing Address
Mr. JOHN ROBERT BROUSSARD
2711 EDGEWOOD DR
PLACERVILLE, CA 95667-3409
Phone number: 530-306-1816
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