Individual
MR. DANIEL THOMAS BROUGHTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5562 CONTINENTAL RD, GRAND BLANC, MI 48439-9106
(810) 869-1015
Mailing address
5562 CONTINENTAL RD, GRAND BLANC, MI 48439-9106
(810) 869-1015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012597
MI
Other
Enumeration date
10/08/2012
Last updated
11/22/2016
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