Teri Boudreau, Ltd. in Bradley - Mental Health

Teri Boudreau, Ltd. - NPI 1346436672

Teri Boudreau, Ltd. is a Mental Health in Bradley, Illinois. Teri Boudreau, Ltd. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Teri Boudreau, Ltd. is 1346436672. The last update date is 2009-12-10.

Teri Boudreau, Ltd.'s current location address is Po Box 334, Bradley, Illinois. You can contact this provider via phone number 8159291940. The mailing address for Teri Boudreau, Ltd. is Po Box 334, Bradley, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Teri Boudreau, Ltd.
Address Po Box 334, Bradley, Illinois
Phone Number 8159291940
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSED C
Authorized Official Name Boudreau Dean Teri
Credentials LCPC
Telephone Number 8159291940

NPI Number Detail

NPI Number 1346436672
Provider Enumeration Date 2007-09-20
Last Updated Date 2009-12-10

Provider Mailing Address Detail

Address Po Box 334
City Bradley
State Illinois (IL)
Post Code 609150334
Phone Number 8159291940
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 180003442
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Teri Boudreau, Ltd.

What is the unique 10-digit identification code issued to Teri Boudreau, Ltd. by the Centers for Medicare & Medicaid Services?

The Teri Boudreau, Ltd. has been assigned the NPI (National Provider Identifier) 1346436672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Teri Boudreau, Ltd.?

The Teri Boudreau, Ltd. is situated at Po Box 334, in the city of Bradley, state of IL, with the zip code 609150334.

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

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

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346436672 to Teri Boudreau, Ltd.?

The Centers for Medicare & Medicaid Services originally issued the 1346436672 to Teri Boudreau, Ltd. on 2007-09-20.

When was the information pertaining to Teri Boudreau, Ltd. most recently updated or revised?

The details related to Teri Boudreau, Ltd., including its address, specialty, and other relevant information, were last updated or revised on 2009-12-10.

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