Individual provider · Type 1 NPI

Ellen Boudreaux, CPSS, ITE

Peer Specialist · Baton Rouge, LA

NPI number 1003308396 Active

Practice location

711 Colonial Dr Ste D
Baton Rouge, LA 70806-6549

Mailing address

945 Ridgepoint Ct
Baton Rouge, LA 70810-2877

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003308396

Ellen Boudreaux, CPSS, ITE's National Provider Identifier is 1003308396, issued on Jun 1, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jun 1, 2018.