Individual provider · Type 1 NPI
Michelle L. Boodry, LPC
Professional Counselor · Fond Du Lac, WI
NPI number
1104604610
Active
Practice location
W8040 Randallwood Ln
Fond Du Lac, WI 54937-9451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5821--125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1104604610
Michelle L. Boodry, LPC's National Provider Identifier is 1104604610, issued on Sep 18, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fond Du Lac, WI. The record was last updated on Sep 18, 2023.