SearchLouisiana101YA0400X

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, Llc
Inferred 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