Mary Boudreaux, LAC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Thibodaux, LA

NPI

1861417883

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

715 (LA)

Sex

Female

Sole proprietor

No

Enumerated

2006-07-12

Last updated

2007-07-08