SUSAN BROCCOLI

THOUSAND OAKS, CA
NPI1548060197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-03-13
Last Update Date2025-03-13
Business Address
SUSAN BROCCOLI
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360-4462
Phone number: 805-777-3500
Mailing Address
SUSAN BROCCOLI
125 W THOUSAND OAKS BLVD STE 500
THOUSAND OAKS, CA 91360-4462
Phone number: 805-777-3500