Individual
MR. DARYN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105-2413
(318) 631-1122
Mailing address
870 POLEMAN RD, SHREVEPORT, LA 71107-3206
(318) 564-6636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4156
LA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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