TERI BOUDREAU LTD. NPI 1346436672

NPI Information

NPI: 1346436672
Provider Name: TERI BOUDREAU, LTD.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
310 N CONVENT ST
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 929-1940
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TERI BOUDREAU, LTD. is a mental health counselor in Bourbonnais, IL. TERI BOUDREAU, LTD. NPI is 1346436672. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 N CONVENT ST
BOURBONNAIS, IL
ZIP 60914-099
Phone: (815) 929-1940

The provider's authorized official is Teri Dean Boudreau .
The authorized official title is Licensed Clinical Professional Coun and has the following contact phone number (815) 929-1940.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 12/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180003442	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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