Individual
HANNAH BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 COOLIDGE BLVD STE 140, LAFAYETTE, LA 70503-2354
(337) 366-1786
Mailing address
111 HARWELL DR, LAFAYETTE, LA 70503-4745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC9163
LA
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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