ANDERSON BROUSSARD

SANTA MONICA, CA
NPI1619411469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-12-13
Last Update Date2016-12-28
Business Address
-- ANDERSON BROUSSARD
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Mailing Address
-- ANDERSON BROUSSARD
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number:
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