Individual
JOHN KENNETH BROCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4400 COLISEUM BLVD, ALEXANDRIA, LA 71303-3513
(318) 445-2401
Mailing address
4400 COLISEUM BLVD, ALEXANDRIA, LA 71303-3513
(318) 445-2401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8048
LA
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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