| Doctor Name: | JESSICA BROUSSARD BAUDOIN |
| NPI Number: | 1861794729 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LMFT, LPC |
| License Number: | 4042 |
| Business Practice Address: | 4540 Ambassador Caffery Pkwy Building D, Suite B-220 Lafayette, LA - 705086928 |
| Business Phone Number: | 3379812180 |
| Business Fax Number: | 3379812391 |
| Mailing Address: | 3936 Olias Rd, ERATH |
| State: | LA |
| Postal Code: | 705336351 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2010 |
| NPI Last Update Date: | 11/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 4042 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |