Roosevelt Broach
Roosevelt Broach is a Mental Health Counselor in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2021
Practice location Address checks out
12959 Jupiter Rd Ste 140Dallas, TX 75238-3200
Phone: (214) 221-0132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 79180 (TX) |
|---|
Record details
| NPI number | 1083280374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2021 |
| Last updated in NPPES | May 27, 2021 |
| Certification date | May 27, 2021 |
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