Individual
DR. JAMAL TRAVIS BOUDION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC, NCC
Contact information
Practice address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
(504) 250-7890
Mailing address
905 BEECHGROVE BLVD APT E, WESTWEGO, LA 70094-3807
(504) 287-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8190
LA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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