Jamie J. Boudreau, Ltd in Bradley - Mental Health

Jamie J. Boudreau, Ltd - NPI 1548454382

Jamie J. Boudreau, Ltd is a Mental Health in Bradley, Illinois. Jamie J. Boudreau, Ltd practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jamie J. Boudreau, Ltd is 1548454382. The last update date is 2007-09-05.

Jamie J. Boudreau, Ltd's current location address is 183 E North St, Bradley, Illinois. You can contact this provider via phone number 8159334072 and fax number 8159335564. The mailing address for Jamie J. Boudreau, Ltd is 183 E North St, Bradley, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jamie J. Boudreau, Ltd
Address 183 E North St, Bradley, Illinois
Phone Number 8159334072
Fax Number 8159335564
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Boudreau J. Jamie
Credentials M.A., LCPC
Telephone Number 8159334072

NPI Number Detail

NPI Number 1548454382
Provider Enumeration Date 2007-09-05
Last Updated Date 2007-09-05

Provider Mailing Address Detail

Address 183 E North St
City Bradley
State Illinois (IL)
Post Code 609151268
Phone Number 8159334072
Fax Number 8159335564

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4623038 IL BC/BS OF ILLINOIS

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FAQs about Jamie J. Boudreau, Ltd

What is the unique identifier code issued to Jamie J. Boudreau, Ltd by the Centers for Medicare & Medicaid Services (CMS)?

The Jamie J. Boudreau, Ltd has been assigned the NPI (National Provider Identifier) 1548454382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jamie J. Boudreau, Ltd is physically located?

The Jamie J. Boudreau, Ltd is physically situated at the following address: 183 E North St, Bradley, IL, 609151268.

What is the area of specialization for Jamie J. Boudreau, Ltd, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jamie J. Boudreau, Ltd is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.

On what date was the 1548454382 assigned to Jamie J. Boudreau, Ltd?

The Jamie J. Boudreau, Ltd was issued its 1548454382 on 2007-09-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jamie J. Boudreau, Ltd most recently updated?

The details pertaining to the Jamie J. Boudreau, Ltd, including its address, specialty, and other relevant information, were last refreshed on 2007-09-05.

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