Individual
MS. SUSAN L BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14528 LATROBE DR, COLORADO SPRINGS, CO 80921-2608
(719) 229-3818
Mailing address
14528 LATROBE DR, COLORADO SPRINGS, CO 80921-2608
(719) 229-3818
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001121
CO
Other
Enumeration date
10/01/2008
Last updated
02/24/2014
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