Charles Stewart Broussard, LAC

NPI #1073969218 in Lafayette, Louisiana

Provider Information

NPI Number
1073969218
Entity Type
Individual
Name
Charles Stewart Broussard, LAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC
Enumeration Date
May 6, 2016
Last Updated
May 6, 2016

Practice Location

Address
2020 W PINHOOK RD
Address 2
SUITE 402
ZIP Code
70508-3290
Phone
(337) 781-6467

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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