Individual
PAUL D BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
505 E GRAND ST, WHITEWRIGHT, TX 75491-2303
(903) 227-3575
Mailing address
505 E GRAND ST, WHITEWRIGHT, TX 75491-2303
(469) 364-4601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15230
TX
Other
Enumeration date
06/05/2020
Last updated
03/21/2023
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