Individual
RACHEL BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17045 CORONADO RD, EAGLE RIVER, AK 99577-7825
(907) 696-5656
Mailing address
17045 CORONADO RD, EAGLE RIVER, AK 99577-7825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
206143
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135825
LICENSED MASTER SOCIAL WORKER
AK
Enumeration date
10/22/2018
Last updated
01/02/2025
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