Susan Broccoli
Susan Broccoli is an Addiction (Substance Use Disorder) Counselor in Thousand Oaks, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
125 W Thousand Oaks Blvd Ste 500Thousand Oaks, CA 91360-4462
Phone: (805) 777-3500
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1548060197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 13, 2025 |
| Last updated in NPPES | March 13, 2025 |
| Certification date | March 13, 2025 |
| Mailing address | 125 W Thousand Oaks Blvd Ste 500, Thousand Oaks, CA 91360-4462 |
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