Individual provider · Type 1 NPI
Meagen Boulay, LMFT
Mental Health Counselor · Victorville, CA
NPI number
1932855608
Active
Practice location
11090 De Anza Rd
Victorville, CA 92392-1826
Mailing address
PO Box 292353
Phelan, CA 92329-2353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LMFT109452 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1932855608
Meagen Boulay, LMFT's National Provider Identifier is 1932855608, issued on Feb 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Victorville, CA. The record was last updated on Feb 22, 2022.