Individual provider · Type 1 NPI

Connie Pearl Broussard, LCSW, LMSW

Professional Counselor · Lafayette, LA

NPI number 1790953180 Active

Practice location

302 Dulles Dr, Suite 1
Lafayette, LA 70506-3008

Call (337) 262-5870 Map

Fax (337) 262-1272

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLMSW 9124 (LA)
Professional Counselor Primary 101YP2500XLCSW 9124 (LA)

Professional Counselor: Definition to come...

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About NPI 1790953180

Connie Pearl Broussard, LCSW, LMSW's National Provider Identifier is 1790953180, issued on Feb 19, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lafayette, LA. The record was last updated on Feb 13, 2012.