Individual
LISA A BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
1001 W PINHOOK RD, BLDG. 3, STE. 226, LAFAYETTE, LA 70503-2448
(337) 534-4789
(337) 534-4789
Mailing address
1001 W PINHOOK RD, BLDG. 3, STE. 226, LAFAYETTE, LA 70503-2448
(337) 534-4789
(337) 534-4789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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