Individual
PATRICE A BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
901 OLD MARS HILL HWY STE 3, WEAVERVILLE, NC 28787-8628
(828) 412-7022
(828) 484-8463
Mailing address
105 N GREENWOOD FOREST DR, ETOWAH, NC 28729-9770
(225) 252-5555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25025
NC
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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