person
Ms. Tracy L Boudrie, MA,LPC
Professional Counselor in Hamtramck, Michigan
NPI 1205252129

Tracy L Boudrie is a Professional Counselor based in La Salle, MI and is specialized in Professional. Tracy L Boudrie practices in Hamtramck, MI and has the professional credentials of MA,LPC. The NPI Number for Tracy L Boudrie is 1205252129 and holds a License No. 6401017135 (Michigan).

The current practice location address for Tracy L Boudrie is 11521 Joseph Campau St, Hamtramck, MI and can be reached out via phone at 313-733-4256 and via fax at 313-733-4265.

Location: 11521 Joseph Campau St, Hamtramck, MI, 48145-9734
person
Provider Profile Details
NPI Number
1205252129
Provider Name
Tracy L Boudrie
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
11521 Joseph Campau St, Hamtramck, MI, 48145-9734
Phone Number
313-733-4256
Fax Number
313-733-4265
Provider Enumeration Date
03/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401017135 01 MI LPC
6401015444 01 MI LLPC
6803086484 01 MI REGISTERED SOCIAL SERVICE TECHNICIAN
institution
Provider Business Practice Location Address Details
Address
11521 Joseph Campau St
City
State
Zip
48212-3050
Phone Number
313-733-4256
Fax Number
313-733-4265
person
Provider Business Mailing Address Details
Address
11521 Joseph Campau St
City
State
Zip
48212-3050
Phone Number
313-733-4256
Fax Number
313-733-4265
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401017135 (Michigan)
Definition
Definition to come...
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