IndividualActive
Alexandrea Broussard
NPI 1619635612 · Professional Counselor · Lake Charles, LA
Provider details
- NPI number
- 1619635612
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PLC9273 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
1202 Kirkman St Ste C
Lake Charles, LA 70601-5391
Phone: (337) 990-5305
Fax: (337) 990-5306
Approximate (ZIP-level) locationGet directions
Mailing address
1202 Kirkman St Ste C
Lake Charles, LA 70601-5391
Additional practice locations (1)
- 710 Versailles BlvdAlexandria, LA 71303-2351Phone: (318) 449-4474
Registry dates
- Enumerated
- 2021-12-07
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.