Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Shannon Broussard, LAC, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255833661

Mark Shannon Broussard, LAC, CCS is an Addiction (Substance Use Disorder) Counselor in Baton Rouge, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2018
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

5431 Superior Dr
Baton Rouge, LA 70816-6044
Phone: (225) 964-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 661 (LA)

Record details

NPI number1255833661
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , CCS
Sole proprietorYes
NPI enumeratedMarch 1, 2018
Last updated in NPPESMarch 1, 2018

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