Individual provider · Type 1 NPI

Mary Boudreaux, LAC

Addiction (Substance Use Disorder) Counselor · Thibodaux, LA

NPI number 1861417883 Active

Practice location

303 Hickory St
Thibodaux, LA 70301-2011

Call (985) 447-0851 Map

Fax (985) 447-0971

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X715 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861417883

Mary Boudreaux, LAC's National Provider Identifier is 1861417883, issued on Jul 12, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Thibodaux, LA. The record was last updated on Jul 8, 2007.