Broussard, Anna Rene

Broussard, Anna Rene is an sole proprietor health care provider with primary practice located at 6625 S Rural Rd Suite 111, Tempe AZ 85283-3717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Broussard, Anna Rene can be contacted via phone (480) 751-1020.

Contact Information

Primary practice address
6625 S Rural Rd Suite 111 Tempe AZ 85283-3717
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-12927 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-12927 Arizona

Profile Details

NPI number 1427220144
LBN Legal business name Broussard, Anna Rene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2008
Last updated Apr 2nd, 2008 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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