Individual
DR. E JANE BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
9621 DONNER SPRINGS AVE, LAS VEGAS, NV 89148-1688
(702) 281-0320
Mailing address
PO BOX 28758, LAS VEGAS, NV 89126-2758
(702) 281-0320
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0101
NV
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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