Individual
MRS. CARLA N BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1615 JOHNSON ST STE C, JENNINGS, LA 70546-3650
(337) 616-0225
(337) 616-0226
Mailing address
1615 JOHNSON ST STE C, JENNINGS, LA 70546-3650
(337) 616-0225
(337) 616-0226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2659
LA
101YP2500X
Professional Counselor
Primary
2659
LA
Other
Enumeration date
09/09/2009
Last updated
10/03/2016
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