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