Individual
KELSEY BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 COUNTY ROAD 90 STE 105, PEARLAND, TX 77584-4891
(979) 285-9242
Mailing address
2225 COUNTY ROAD 90 STE 105, PEARLAND, TX 77584-4891
(979) 285-9242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90665
TX
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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