Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John Robert Broussard

Individual provider Mental Health Counselor · NPI 1013271196

Mr. John Robert Broussard is a Mental Health Counselor in Placerville, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

2711 Edgewood Dr
Placerville, CA 95667-3409
Phone: (530) 306-1816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1013271196
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 3, 2012
Last updated in NPPESJuly 3, 2012
Mailing address2711 Edgewood Dr, Placerville, CA 95667-3409

Other providers in Placerville