Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL D BROUSSARD, LCDC
ActivePAUL D BROUSSARD, LCDC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WHITEWRIGHT, Texas. NPI 1871117788 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WHITEWRIGHT, TX
Registration Details
- NPI Number
- 1871117788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2020 (6.1721699977699 yrs)
- Last Updated
- Mar 21, 2023
- License
-
15230 (TX)
Practice Information
- Address
-
505 E GRAND STWHITEWRIGHT, TX, 754912303Browse TX providers · Browse ZIP 75491
- Phone
- 9032273575
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.