Individual provider · Type 1 NPI
Evan J. Broussard, MS, PLPC
Mental Health Counselor · Lafayette, LA
NPI number
1316512239
Active
Practice location
850 Kaliste Saloom Rd Ste 219
Lafayette, LA 70508-4230
Mailing address
7323 Cemetary Hwy
St. Martinville, LA 70582-7903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PLC8587 (LA) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1316512239
Evan J. Broussard, MS, PLPC's National Provider Identifier is 1316512239, issued on May 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on May 26, 2021.