Mark Shannon Broussard, LAC, CCS is an addiction (substance use disorder) counselor in Baton Rouge, LA. Mark Shannon Broussard, LAC, CCS NPI is 1255833661. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5431 SUPERIOR DR
BATON ROUGE, LA
ZIP 70816-044
Phone: (225) 964-5000
The enumeration date for this NPI number is 3/1/2018 and was last updated on 3/1/2018.