Kenny Joseph Boudreaux, BA. B.S. PSYCHOLOGY Valid NPI

Individual provider · Case Manager/Care Coordinator · Gautier, MS

NPI

1750606646

Type

Individual (Type 1)

Primary specialty

Case Manager/Care Coordinator

Specialty group

Other Service Providers

Taxonomy code

171M00000X

Sex

Male

Sole proprietor

No

Enumerated

2010-04-02

Last updated

2010-04-02