1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Counselor
  6. NPI Profile

FREDERICK DJUAN BROUSSARD
NPI 1003112574
Counselor in Long Beach, CA

Active since February 01, 2011
3707 CHERRY AVE, LONG BEACH, CA 90807(562) 417-9322 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Djuan Broussard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK DJUAN BROUSSARD (NPI 1003112574) is an individual counselor in Long Beach, California and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1003112574
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameFREDERICK DJUAN BROUSSARD
Location Address3707 CHERRY AVELong Beach, CA 90807-4320
Mailing Address3707 Cherry AveLong Beach, CA 90807-4320 · (562) 417-9322
Phone(562) 417-9322
Sole ProprietorNo
Enumeration DateFebruary 1, 2011
✔ NPI 1003112574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3707 CHERRY AVE, Long Beach, CA 90807
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Broussard's NPI number?

The NPI number for Frederick Broussard is 1003112574. It was assigned to this individual provider in the NPPES registry on February 1, 2011.

Where is Frederick Broussard located?

Frederick Broussard practices at 3707 Cherry Ave, Long Beach, CA 90807. The listed phone number is (562) 417-9322.

What is Frederick Broussard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Frederick Broussard was last updated on February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.