Individual
ALEXANDREA MAE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 KIRKMAN ST STE C, LAKE CHARLES, LA 70601-5391
(337) 990-5305
(337) 990-5306
Mailing address
1202 KIRKMAN ST STE C, LAKE CHARLES, LA 70601-5391
(337) 990-5305
(337) 990-5306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC9273
LA
101YM0800X
Mental Health Counselor
PLC9273
LA
101YP2500X
Professional Counselor
Primary
9273
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/07/2021
Last updated
02/18/2025
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