Jamie J. Boudreau, Ltd

NPI #1548454382 in Bradley, Illinois

Provider Information

NPI Number: 1548454382
Entity Type: Organization
Organization Name: Jamie J. Boudreau, Ltd
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 5, 2007
Last Updated: Sep 5, 2007

Practice Location

Address: 183 E NORTH ST
City: Bradley
State: Illinois
ZIP Code: 60915-1268
Phone: (815) 933-4072

Authorized Official

Name: MR. JAMIE J. BOUDREAU, M.A., LCPC
Title: PRESIDENT
Phone: (815) 933-4072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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