Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK SHANNON BROUSSARD, LAC, CCS
Active Sole ProprietorMARK SHANNON BROUSSARD, LAC, CCS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BATON ROUGE, Louisiana. NPI 1255833661 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BATON ROUGE, LA
Registration Details
- NPI Number
- 1255833661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2018 (8.5000479053612 yrs)
- Last Updated
- Mar 1, 2018
- License
-
661 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5431 SUPERIOR DRBATON ROUGE, LA, 708166044Browse LA providers · Browse ZIP 70816
- Phone
- 2259645000
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| MR. TODD DAVID ULMER | LCSW, CCGC | 1679638720 |
| OLLIE M PERKINS | RN | 1437203304 |
| FARA ALLEN | PLPC | 1891980645 |
| MRS. SANDRA QUINN OUBRE | — | 1487809927 |
| MRS. RENETTA A BELL | LAC | 1720316797 |
| QUINTIN L GUSTIN | LPC | 1205137064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.