Individual provider · Type 1 NPI

Connor Bolduc

Professional Counselor · Maplewood, MN

NPI number 1093460180 Active

Practice location

2103 County Road D E Ste B
Maplewood, MN 55109-5358

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice locations

  • 239 Cleveland Ave N, St. Paul, MN 55104-5730 · (612) 712-6435

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4468 (MN)

Professional Counselor: Definition to come...

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About NPI 1093460180

Connor Bolduc's National Provider Identifier is 1093460180, issued on Feb 16, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maplewood, MN. The record was last updated on Jul 28, 2025.