BRYAN VINCENT BROUSSARD

SACRAMENTO, CA
NPI1982167441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-04-11
Last Update Date2019-04-11
Business Address
BRYAN VINCENT BROUSSARD RADT1
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2704
Mailing Address
BRYAN VINCENT BROUSSARD RADT1
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number:
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