Individual
KORTNEY BROUSSARD CHEVALIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1011 HARDING ST, LAFAYETTE, LA 70503
(337) 591-7563
(337) 247-9706
Mailing address
208 DEVON WAY, YOUNGSVILLE, LA 70592-5473
(337) 591-7563
(337) 247-9706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5313
LA
101YP2500X
Professional Counselor
Primary
5313
LA
Other
Enumeration date
03/10/2015
Last updated
11/13/2019
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