Individual
ADELINE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N MAIN ST, OPELOUSAS, LA 70570-6256
(337) 942-6400
(337) 948-7400
Mailing address
209 N MAIN ST, OPELOUSAS, LA 70570-6256
(337) 942-6400
(337) 948-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
01/21/2019
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