Doctor Name: | SHARON M BROUSSARD |
NPI Number: | 1174877336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, M.ED. |
License Number: | 1825 |
Business Practice Address: | 462 Boston St Suite 7 Topsfield, MA - 019831200 |
Business Phone Number: | 9788872448 |
Business Fax Number: | 9787749218 |
Mailing Address: | 462 Boston St, Suite 7 TOPSFIELD |
State: | MA |
Postal Code: | 019831200 |
Phone Number: | 9788872448 |
Fax Number: | 9787749218 |
NPI Enumeration Date: | 11/08/2012 |
NPI Last Update Date: | 11/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |