Individual
DR. CRYSTAL BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
2517 JENA ST, NEW ORLEANS, LA 70115-6322
(504) 250-1671
Mailing address
2517 JENA ST, NEW ORLEANS, LA 70115-6322
(504) 250-1671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12125
LA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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