Individual
SYREETA BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 N POPPS FERRY RD STE D, BILOXI, MS 39532-2312
(228) 207-0725
Mailing address
15305 LISA DR, BILOXI, MS 39532-5766
(706) 505-3579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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