Search › Louisiana › 101YA0400X
Charles Broussard, LAC
NPI 1073969218 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2020 W Pinhook Rd
Suite 402
Lafayette, LA 70508 - Phone
- (337) 781-6467
- Organisation at this address
- Talitha Koum
Clearstart Llc
Social Works, Llc
Pivot Counseling, Llc
Solutions Recovery, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana