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Individual
LUC BOUDREAU
Active
Individual
LUC BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCA, LMHCA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
MC61660610
WA
101YM0800X
Mental Health Counselor
Primary
R11000
OR
225X00000X
Occupational Therapist
20859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20859
OCCUPATIONAL THERAPY
FL
Enumeration date
06/02/2006
Last updated
07/10/2026
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