Individual provider · Type 1 NPI

Su Yong Boudreau

Marriage & Family Therapist · La Jolla, CA

NPI number 1336535210 Active

Practice location

1140 Wall St # 355
La Jolla, CA 92037-4531

Call (858) 218-0863 Map

Other practice locations

  • 892 27th St, San Diego, CA 92154 · (619) 575-4687

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT128747 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1336535210

Su Yong Boudreau's National Provider Identifier is 1336535210, issued on Apr 8, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in La Jolla, CA. The record was last updated on Sep 13, 2022.