person
Charles Stewart Broussard, LAC
Addiction (Substance Use Disorder) Counselor in Lafayette, Louisiana
NPI 1073969218

Charles Stewart Broussard is an Addiction (Substance Use Disorder) Counselor based in Lafayette, LA and is specialized in Addiction (Substance Use Disorder). Charles Stewart Broussard practices in Lafayette, LA and has the professional credentials of LAC. The NPI Number for Charles Stewart Broussard is 1073969218 and holds a License No. 104 (Louisiana).

The current practice location address for Charles Stewart Broussard is 2020 W Pinhook Rd, Lafayette, LA and can be reached out via phone at 337-781-6467.

Location: 2020 W Pinhook Rd, Lafayette, LA, 70508-3290
person
Provider Profile Details
NPI Number
1073969218
Provider Name
Charles Stewart Broussard
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
2020 W Pinhook Rd, Lafayette, LA, 70508-3290
Phone Number
337-781-6467
Fax Number
Provider Enumeration Date
05/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 W Pinhook Rd
City
State
Zip
70508-3290
Phone Number
337-781-6467
Fax Number
person
Provider Business Mailing Address Details
Address
2020 W Pinhook Rd
City
State
Zip
70508-3290
Phone Number
337-781-6467
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
104 (Louisiana)
Definition
Definition to come...
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