Individual
JENESHA MICHELLE BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 SAINT BERNARD AVE, NEW ORLEANS, LA 70119-1613
(504) 943-1857
(504) 943-1858
Mailing address
121 MORRISTOWN RD, RACELAND, LA 70394-3132
(985) 647-1516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
04/11/2019
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