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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