JUSTIN BROUSSARD

BATON ROUGE, LA
NPI1881164705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-12-04
Last Update Date2018-12-04
Business Address
JUSTIN BROUSSARD
5425 GALERIA DR STE C
BATON ROUGE, LA 70816-8004
Phone number: 225-223-6153
Mailing Address
JUSTIN BROUSSARD
5425 GALERIA DR STE C
BATON ROUGE, LA 70816-8004
Phone number: 225-223-6153
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