Individual provider · Type 1 NPI
Ryan Earl Boudreaux
Mental Health Counselor · Lake Charles, LA
NPI number
1487435442
Active
Practice location
2829 4th Ave Ste 215
Lake Charles, LA 70601-7887
Mailing address
500 Broad St # 213
Lake Charles, LA 70601-4335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | PLC10351 (LA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1487435442
Ryan Earl Boudreaux's National Provider Identifier is 1487435442, issued on Oct 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Charles, LA. The record was last updated on Jun 24, 2025.