Individual provider · Type 1 NPI

Charles Anthony Boudreaux Jr.

Professional Counselor · Jackson, MS

NPI number 1174647432 Active

Practice location

431 N State St
Jackson, MS 39201-1108

Call (601) 949-1949 Map

Fax (601) 714-6922

Mailing address

301 Remington Dr
Brandon, MS 39042-2865

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0980 (MS)
Marriage & Family Therapist 106H00000XT0023 (MS)

Professional Counselor: Definition to come...

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About NPI 1174647432

Charles Anthony Boudreaux Jr.'s National Provider Identifier is 1174647432, issued on Mar 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Sep 11, 2025.