Individual provider · Type 1 NPI
Jessica F. Boulanger, MED, LPC, NCC, CCTP
Professional Counselor · San Antonio, TX
NPI number
1831595818
Active
Practice location
4414 Centerview Ste 204
San Antonio, TX 78228-1432
Fax (210) 757-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 67194 (TX) |
| Professional Counselor Primary | 101YP2500X | 67194 (TX) |
Professional Counselor: Definition to come...
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About NPI 1831595818
Jessica F. Boulanger, MED, LPC, NCC, CCTP's National Provider Identifier is 1831595818, issued on Nov 18, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Apr 28, 2025.