Individual
KRISTEN LEIGH BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
10330 SAWMILL PKWY, SUITE 300, POWELL, OH 43065-7790
(614) 477-4390
Mailing address
PO BOX 3342, DUBLIN, OH 43016-0161
(614) 477-4390
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0701103
OH
Other
Enumeration date
04/10/2009
Last updated
10/15/2011
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