Individual provider · Type 1 NPI
Malinda Charisse Boudreaux, LPC
Mental Health Counselor · Orange, TX
NPI number
1639280415
Active
Practice location
8885 Taylor Cir
Orange, TX 77630-8822
Fax (409) 735-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 16733 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1639280415
Malinda Charisse Boudreaux, LPC's National Provider Identifier is 1639280415, issued on Aug 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange, TX. The record was last updated on Jul 8, 2007.