KELLY MICHELLE BROUSSARD

HILO, HI
NPI1871050146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: HI  MHC-790)
Enumeration Date2019-02-22
Last Update Date2024-10-03
Business Address
KELLY MICHELLE BROUSSARD LMHC
190 KEAWE ST STE 33
HILO, HI 96720-2849
Phone number: 808-238-9990
Mailing Address
KELLY MICHELLE BROUSSARD LMHC
7006 W BRIARWOOD AVE
WICHITA, KS 67212-2928
Phone number: 808-238-9990
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