Individual
DONALD BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 FRERET ST, MORGAN CITY, LA 70380-3334
(337) 224-0566
Mailing address
616 FRERET ST, MORGAN CITY, LA 70380-3334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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