Individual provider · Type 1 NPI
Mark Shannon Broussard, LAC, CCS
Addiction (Substance Use Disorder) Counselor · Baton Rouge, LA
NPI number
1255833661
Active
Practice location
5431 Superior Dr
Baton Rouge, LA 70816-6044
Mailing address
6421 Perkins Rd Ste A
Baton Rouge, LA 70808-6200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 661 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in Baton Rouge
- Janice Griffin Rebstock, LACAddiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1013344746
- David W. Lee Ii, CITAddiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1013486182
- Gwyn Rita BeckerAddiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1013522382
- Shalicia Monaye ButlerAddiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1023879905
- Alexander Joseph Merkle, CSWAddiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1033693189
- Brandy Solar, CITAddiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1033975164
- Jackie Simmons, MSP, CIT3407Addiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1043683444
- Eden VincentAddiction (Substance Use Disorder) Counselor Baton Rouge, LA NPI 1053183905
About NPI 1255833661
Mark Shannon Broussard, LAC, CCS's National Provider Identifier is 1255833661, issued on Mar 1, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 1, 2018.