Donald Broussard

NPI #1588175319 in Bastrop, Louisiana

Provider Information

NPI Number
1588175319
Entity Type
Individual
Name
Donald Broussard
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Oct 19, 2017
Last Updated
Oct 19, 2017

Practice Location

Address
644 E JEFFERSON AVE
ZIP Code
71220-4619
Phone
(318) 239-3862

Specialties & Taxonomy Codes

Specialty
Counselor

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