Broussard, Ashley Patrice

Broussard, Ashley Patrice is an individual health care provider with primary practice located at 1723 Kresky Ave , Centralia WA 98531-8985. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Broussard, Ashley Patrice can be contacted via phone (360) 559-6201.

Contact Information

Primary practice address
1723 Kresky Ave Centralia WA 98531-8985
Phone: (360) 559-6201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG 60714499 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4155 Alaska

Profile Details

NPI number 1376078246
LBN Legal business name Broussard, Ashley Patrice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Jul 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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