| Mr John Robert Broussard, | |
|
2711 Edgewood Dr, Placerville, CA 95667-3409 | |
| (530) 306-1816 | |
| Not Available |
| Full Name | Mr John Robert Broussard |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2711 Edgewood Dr, Placerville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013271196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Robert Broussard, 2711 Edgewood Dr, Placerville, CA 95667-3409 Ph: (530) 306-1816 | Mr John Robert Broussard, 2711 Edgewood Dr, Placerville, CA 95667-3409 Ph: (530) 306-1816 |
Meghan Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 935b Spring Street, Placerville, CA 95667 Phone: 530-621-6116 | |
Haley Randle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 670 Placerville Dr, Placerville, CA 95667 Phone: 530-644-2412 | |
Mrs. Yvonne Martinez Thomas, BA, RADT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2844 Coloma St, Placerville, CA 95667 Phone: 530-344-4544 | |
Eva Montayre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 935b Spring St, Placerville, CA 95667 Phone: 530-621-6213 | |
Stephen M Healy, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6765 Green Valley Rd, Placerville, CA 95667 Phone: 530-622-5551 | |
Ms. Julie Marie Halsall, RADT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2844 Coloma Street, Placerville, CA 95667 Phone: 530-626-7252 Fax: 530-626-7934 |