Individual
MINDY BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 KALISTE SALOOM RD, SUITE 219, LAFAYETTE, LA 70508-4230
(337) 504-4974
Mailing address
850 KALISTE SALOOM RD, SUITE 219, LAFAYETTE, LA 70508-4230
(337) 504-4974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5554
LA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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