Individual provider · Type 1 NPI

Daryn Broussard, LPC

Mental Health Counselor · Shreveport, LA

NPI number 1972964542 Active

Practice location

2924 Knight St Ste 434
Shreveport, LA 71105-2413

Call (318) 631-1122 Map

Mailing address

870 Poleman Rd
Shreveport, LA 71107-3206

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4156 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1972964542

Daryn Broussard, LPC's National Provider Identifier is 1972964542, issued on Mar 10, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Mar 10, 2016.