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Donald Broussard
Counselor in Bastrop, Louisiana
NPI 1588175319

Donald Broussard is a Counselor based in Bastrop, LA. Donald Broussard practices in Bastrop, LA. The NPI Number for Donald Broussard is 1588175319 and holds a License No. (Louisiana).

The current practice location address for Donald Broussard is 644 E Jefferson Ave, Bastrop, LA and can be reached out via phone at 318-239-3862 and via fax at 318-239-3867.

Location: 644 E Jefferson Ave, Bastrop, LA, 71220-4619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588175319
Provider Name
Donald Broussard
Credential
Provider Entity Type
Individual
Gender
Male
Address
644 E Jefferson Ave, Bastrop, LA, 71220-4619
Phone Number
318-239-3862
Fax Number
318-239-3867
Provider Enumeration Date
10/19/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
644 E Jefferson Ave
City
Bastrop
State
Louisiana
Zip
71220-4619
Phone Number
318-239-3862
Fax Number
318-239-3867
person
Provider Business Mailing Address Details
Address
644 E Jefferson Ave
City
Bastrop
State
Louisiana
Zip
71220-4619
Phone Number
318-239-3862
Fax Number
318-239-3867
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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