Individual
MRS. TERI BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
21 HERITAGE DR, STE 102, BOURBONNAIS, IL 60914
(815) 937-8204
(815) 937-8798
Mailing address
9223 W ST FRANCIS RD, FRANKFORT, IL 60423
(815) 806-3111
(815) 464-2621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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