Individual provider · Type 1 NPI

Shadi May Boudreau, LPC

Professional Counselor · Phoenix, AZ

NPI number 1407361090 Active

Practice location

810 N 6th Ave
Phoenix, AZ 85003-1318

Call (602) 625-2529 Map

Mailing address

4201 N 20th St Unit 225
Phoenix, AZ 85016-5486

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X16954 (AZ)
Professional Counselor Primary 101YP2500X16954 (AZ)

Professional Counselor: Definition to come...

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About NPI 1407361090

Shadi May Boudreau, LPC's National Provider Identifier is 1407361090, issued on Dec 5, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 5, 2017.