Wyanicka Broussard
Wyanicka Broussard is a Case Manager/Care Coordinator in Houston, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
5144 E Sam Houston Pkwy N Ste 114Houston, TX 77015-3225
Phone: (346) 327-5161
Fax: (186) 693-6453
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1689226532 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2019 |
| Last updated in NPPES | March 6, 2024 |
| Certification date | March 6, 2024 |
| Mailing address | 5144 E Sam Houston Pkwy N Ste 114, Houston, TX 77015-3225 |
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