Individual provider · Type 1 NPI

Clifton Boudreaux Jr.

Pastoral Counselor · Baton Rouge, LA

NPI number 1194629592 Active

Practice location

11616 Southfork Ave Ste 403
Baton Rouge, LA 70816-5241

Mailing address

1206 Green Knoll Dr
Sugar Land, TX 77479-6005

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor Primary 101YP1600X18655 (TX)

Pastoral Counselor: Definition to come...

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About NPI 1194629592

Clifton Boudreaux Jr.'s National Provider Identifier is 1194629592, issued on Oct 7, 2026. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 7, 2026.