Search › Washington › 101YA0400X
Ashley Broussard
NPI 1376078246 · on the registry since 2017
Practice
- Address
- 1723 Kresky Ave
Centralia, WA 98531 - Phone
- (360) 559-6201
- Organisation at this address
- American Behavioral Health Systems, Inc.
Great Rivers Behavioral Health Administrative Services OrgInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- WA, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington