SHANNON MARIE BROUSSARD-BUENO

PORTLAND, OR
NPI1386430692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R10988)
Enumeration Date2025-04-15
Last Update Date2025-05-19
Business Address
SHANNON MARIE BROUSSARD-BUENO LAC
5441 S MACADAM AVE STE 4561
PORTLAND, OR 97239-6106
Phone number: 337-717-0401
Mailing Address
SHANNON MARIE BROUSSARD-BUENO LAC
5441 S MACADAM AVE STE 4561
PORTLAND, OR 97239-6106
Phone number: 337-717-0401