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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. CONNIE PEARL BROUSSARD, LCSW, LMSW

Active

MS. CONNIE PEARL BROUSSARD, LCSW, LMSW is a Professional Counselor healthcare provider located in LAFAYETTE, Louisiana. NPI 1790953180 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LAFAYETTE, LA

Registration Details

NPI Number
1790953180
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2008 (18.501706943078 yrs)
Last Updated
Feb 13, 2012
Licenses
LMSW 9124 (LA)
LCSW 9124 (LA)

Practice Information

Address
302 DULLES DR
SUITE 1
LAFAYETTE, LA, 705063008
Browse LA providers · Browse ZIP 70506
Phone
3372625870
Fax
3372621272
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in LAFAYETTE, LA

Name Credential NPI
DR. RON R RAY PHD 1518922152
MR. J PATRICK WILSON MA LMFT LPC-S 1386696623
CHRISTINE LERILLE MCGILL M.S. 1003869611
LORI KELLY ROMERO M.S. 1457305740
DR. JAMES DOUGLAS BLAIR ED.D 1215982806
EAN VINCENZO YOUNG LPC, LMFT, CEAP, NCC 1003861683
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.