Organization
DEONTOLOGY
Active
Organization
DEONTOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEONTE BROUSSARD LPC (COUNSELOR)
(832) 689-9460
Entity
Organization
Contact information
Practice address
6022 BELNEATH ST, HOUSTON, TX 77033
(832) 689-9460
Mailing address
6022 BELNEATH, HOUSTON, TX 77033
(832) 689-9460
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
70182
TX
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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