Individual
SARA BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 RUE DE SANTE STE 4, LA PLACE, LA 70068-5400
(985) 652-7840
(985) 652-7839
Mailing address
501 RUE DE SANTE STE 4, LA PLACE, LA 70068-5400
(985) 652-7840
(985) 652-7839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474644535
—
LA
Enumeration date
02/28/2018
Last updated
02/28/2018
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