Individual
MR. JOHN DALTON BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-3105
(337) 475-3105
Mailing address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-3100
(337) 475-3105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8871
LA
Other
Enumeration date
12/19/2022
Last updated
11/10/2025
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