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Organization

BROADLANDS FAMILY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RON DANTIN LPC (PROVIDER)
(985) 635-6943
Entity
Organization

Contact information

Practice address
14791 E MAIN ST, CUT OFF, LA 70345-2658
(985) 632-2569
(985) 325-8668
Mailing address
14791 E MAIN ST, CUT OFF, LA 70345-2658
(985) 632-2569
(985) 325-8668

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3284
LA

Other

Enumeration date
04/21/2016
Last updated
04/21/2016
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