Individual
MR. JARED MORGAN BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
13602 JARVIS RD, CYPRESS, TX 77429-3802
(832) 303-0345
Mailing address
16835 AMELIA ISLAND DR, CYPRESS, TX 77433-3492
(281) 782-4314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
73286
TX
Other
Enumeration date
09/20/2016
Last updated
10/29/2019
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