Individual
JANE D BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Mailing address
44 COUNTY ROAD 630, MENTONE, AL 35984-2208
(256) 634-4225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51528248
BCBS
AL
Enumeration date
08/07/2006
Last updated
07/08/2007
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