Individual
BRITTANY BROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
Mailing address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
14890
CA
101YP2500X
Professional Counselor
14890
CA
Other
Enumeration date
07/16/2017
Last updated
03/13/2024
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