Michelle L Boodry, LPC
NPI #1104604610 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1104604610
- Entity Type
- Individual
- Name
- Michelle L Boodry, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 18, 2023
- Last Updated
- Sep 18, 2023
Practice Location
- Address
- W8040 RANDALLWOOD LN
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-9451
- Phone
- (920) 979-7855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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