CHARLES STEWART BROUSSARD

LAFAYETTE, LA
NPI1073969218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA  104)
Enumeration Date2016-05-06
Last Update Date2016-05-06
Business Address
CHARLES STEWART BROUSSARD LAC
2020 W PINHOOK RD SUITE 402
LAFAYETTE, LA 70508-3290
Phone number: 337-781-6467
Mailing Address
CHARLES STEWART BROUSSARD LAC
2020 W PINHOOK RD SUITE 402
LAFAYETTE, LA 70508-3290
Phone number: 337-781-6467
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