Individual
MONIQUE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
576 BELLE TERRE BLVD, LA PLACE, LA 70068-1715
(985) 359-2300
Mailing address
41100 BAYOU SEGNETTE AVE, GONZALES, LA 70737-8593
(985) 817-0047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
17188
LA
171M00000X
Case Manager/Care Coordinator
17188
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/30/2018
Last updated
02/02/2023
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