Individual
PEGGY BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4919 JAMESTOWN AVE, SUITE 102, BATON ROUGE, LA 70808-3228
(225) 924-6621
(225) 924-6627
Mailing address
4919 JAMESTOWN AVE, SUITE 102, BATON ROUGE, LA 70808-3228
(225) 924-6621
(225) 924-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1878
LA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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