Stephanie Brazzle
Counselor in Lafayette, LA. Individual provider (NPI-1).
NPI number1972053239
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1972053239
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Brazzle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2016
- Last updated
- Oct 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
850 Kaliste Saloom RdLafayette, LA 70508-4230
Phone 337-261-2300
Mailing address
2525 Youree DrSuite 110
Shreveport, LA 71104-3671
Phone 318-742-3408
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