Individual provider · Type 1 NPI

Paul Andrew Boissonneault, ED.S.

Mental Health Counselor · Melbourne, FL

NPI number 1932456191 Active

Practice location

3270 Suntree Blvd Ste 101
Melbourne, FL 32940-7540

Call (321) 610-7949 Map

Mailing address

1365 Cepheus Ct
Merritt Island, FL 32953-3171

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1932456191

Paul Andrew Boissonneault, ED.S.'s National Provider Identifier is 1932456191, issued on Aug 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Aug 7, 2012.