Individual provider · Type 1 NPI

Justin Broussard

Mental Health Counselor · Baton Rouge, LA

NPI number 1881164705 Active

Practice location

5425 Galeria Dr Ste C
Baton Rouge, LA 70816-8004

Call (225) 223-6153 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1881164705

Justin Broussard's National Provider Identifier is 1881164705, issued on Dec 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Dec 4, 2018.