Individual
ANNA BROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24977 WASHINGTON AVE # K, MURRIETA, CA 92562-9832
(951) 677-1470
Mailing address
43195 AVENIDA DE SAN PASQUAL, TEMECULA, CA 92592-3121
(702) 379-8846
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
97499
CA
Other
Enumeration date
05/05/2019
Last updated
06/11/2019
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