Individual
ADRIAN CALE BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
324 W HALE ST, LAKE CHARLES, LA 70601-8439
(337) 433-9177
Mailing address
324 W HALE ST, LAKE CHARLES, LA 70601-8439
(337) 433-9177
(337) 433-9173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10213
LA
Other
Enumeration date
09/11/2018
Last updated
10/22/2018
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