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Aiesha Danelle Broussard
Peer Specialist in Lafayette, Louisiana
NPI 1447883723

Aiesha Danelle Broussard is a Peer Specialist based in Baton Rouge, LA. Aiesha Danelle Broussard practices in Lafayette, LA. The NPI Number for Aiesha Danelle Broussard is 1447883723 and holds a License No. (Louisiana).

The current practice location address for Aiesha Danelle Broussard is 1017 Saint John St, Lafayette, LA and can be reached out via phone at 337-261-2300.

Location: 1017 Saint John St, Lafayette, LA, 70806-4803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447883723
Provider Name
Aiesha Danelle Broussard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1017 Saint John St, Lafayette, LA, 70806-4803
Phone Number
337-261-2300
Fax Number
Provider Enumeration Date
02/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1017 Saint John St
City
Lafayette
State
Louisiana
Zip
70501-6711
Phone Number
337-261-2300
Fax Number
person
Provider Business Mailing Address Details
Address
1017 Saint John St
City
Lafayette
State
Louisiana
Zip
70501-6711
Phone Number
337-261-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Louisiana)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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