Pamela Denise Broussard, LPC
Counselor, Professional in Tomball, TX. Individual provider (NPI-1).
NPI number1316623705
StatusActive
Last updated in NPPESJun 22, 2023
Details
- NPI
- 1316623705
- Entity type
- Individual (NPI-1)
- Name
- Pamela Denise Broussard
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2023
- Certification date
- Jun 22, 2023
- Last updated
- Jun 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 87532 | TX | Yes |
Practice location
18323 Beaverdell DrTomball, TX 77377-7938
Phone 832-276-7709
Mailing address
18323 Beaverdell DrTomball, TX 77377-7938
Phone 832-276-7709
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