Individual
JOLIE BETH BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
2902 GOLDEN HARVEST LN, FORT COLLINS, CO 80528-3137
(405) 410-6378
Mailing address
2902 GOLDEN HARVEST LN, FORT COLLINS, CO 80528-3137
(405) 410-6378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012065
CO
Other
Enumeration date
02/10/2011
Last updated
02/06/2022
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