Individual
DR. CHARLES ANTHONY BOUDREAUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 N STATE ST, JACKSON, MS 39201-1108
(601) 949-1949
(601) 714-6922
Mailing address
301 REMINGTON DR, BRANDON, MS 39042-2865
(601) 949-1949
(601) 714-6922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0980
MS
106H00000X
Marriage & Family Therapist
T0023
MS
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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