Individual provider · Type 1 NPI

Charles Stewart Broussard, LAC

Addiction (Substance Use Disorder) Counselor · Lafayette, LA

NPI number 1073969218 Active

Practice location

2020 W Pinhook Rd, Suite 402
Lafayette, LA 70508-3290

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X104 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073969218

Charles Stewart Broussard, LAC's National Provider Identifier is 1073969218, issued on May 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lafayette, LA. The record was last updated on May 6, 2016.