Charlie Eliza Boutillette, LPC MA
NPI #1508990086 in Alamosa, Colorado
Provider Information
- NPI Number
- 1508990086
- Entity Type
- Individual
- Name
- Charlie Eliza Boutillette, LPC MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC MA
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Sep 18, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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