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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. EBONI GRACE BROUSSARD, MA, NCC

Active Sole Proprietor

MS. EBONI GRACE BROUSSARD, MA, NCC is a Professional Counselor healthcare provider located in MACON, Georgia. NPI 1053812982 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MACON, GA

Registration Details

NPI Number
1053812982
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2018 (8.4778642387109 yrs)
Last Updated
Feb 26, 2018
Sole Proprietor
Yes

Practice Information

Address
3098 ASHBY DR
MACON, GA, 312041502
Browse GA providers · Browse ZIP 31204
Phone
4044091039
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in MACON, GA

Name Credential NPI
BETSY MILLS LPC, SAP, CEAP 1841282084
MS. JEANNIE O POWELL LPC 1730281163
MS. ANGIE WRIGHT LPC 1821191297
MS. KELLY G KAPLAN LPC, SAP 1619071073
MRS. ANN CAROL DANIEL LMFT 1043319189
DR. TERRENCE G MERMANN PROFESSIONAL COUNSEL 1265584221
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.