Individual provider · Type 1 NPI
Michael G. Boudreaux, MA, LPC, LAC
Mental Health Counselor · Denver, CO
NPI number
1730636499
Active
Practice location
1705 S Pearl St, Suite 6
Denver, CO 80210-3170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000733 (CO) |
| Mental Health Counselor Primary | 101YM0800X | LPC.0013068 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1730636499
Michael G. Boudreaux, MA, LPC, LAC's National Provider Identifier is 1730636499, issued on Sep 9, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Denver, CO. The record was last updated on Sep 9, 2016.