JIA MAE-AIMEE BROUSSARD ASW
NPI 1346572658
Counselor in San Francisco, CA

Q: What is Jia Broussard's NPI number?

The NPI number for Jia Broussard is 1346572658. It was assigned to this individual provider in the NPPES registry on February 11, 2010.

Q: What is Jia Broussard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jia Broussard was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 11, 2010

555 COLE ST, SAN FRANCISCO, CA 94117(415) 386-9398(415) 386-8212 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jia Mae-aimee Broussard Asw NPPES

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

JIA MAE-AIMEE BROUSSARD ASW (NPI 1346572658) is an individual counselor in San Francisco, California and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1346572658

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJIA MAE-AIMEE BROUSSARDCredential: ASW

Location Address555 COLE STSan Francisco, CA 94117-2800

Mailing Address555 Cole StSan Francisco, CA 94117-2800 · (415) 386-9398 · Fax (415) 386-8212

Phone(415) 386-9398

Fax(415) 386-8212

Sole ProprietorNo

Enumeration DateFebruary 11, 2010

Last NPPES UpdateJuly 20, 2016

✔ NPI 1346572658 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.

555 COLE ST, San Francisco, CA 94117

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISABEL CARRILLO ASW

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